Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07853 | Date 30/11/2022 |
| Token No | SM/22-23/6750 01/12/2022 | Serial | 004 |
| Patient Name | Mrs. ARATI SHAW | Contact No | 8777750507 |
| Address | 9 NO RAIL GATE, DANKUNI | Age | 46 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||