Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07929 | Date 12/12/2022 |
| Token No | SM/22-23/6963 13/12/2022 | Serial | 019 |
| Patient Name | Mrs. TUMPA NAG | Contact No | 8697239146 |
| Address | 9A SASHI BHUSHAN GHOSH LANE | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||