Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07930 | Date 12/12/2022 |
| Token No | SM/22-23/6972 13/12/2022 | Serial | 028 |
| Patient Name | Mrs. TANUSHRI CHATTOPADHAYAY | Contact No | 9331926312 |
| Address | 502B G.T.ROAD | Age | 47 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||