Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07794 | Date 24/11/2022 |
| Token No | SM/22-23/6622 25/11/2022 | Serial | 001 |
| Patient Name | Mrs. SONALI MUKHERJEE | Contact No | 8017481645 |
| Address | 306 RAJA K.L. GOSWAMI STREET | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||