Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07885 | Date 05/12/2022 |
| Token No | SM/22-23/6847 06/12/2022 | Serial | 024 |
| Patient Name | Mrs. PAMPA ROYCHOWDHURY | Contact No | 9330040511 |
| Address | 11/1 SASHIBHUSHAN GHOSH LANE | Age | 55 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||