Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07958 | Date 16/12/2022 |
| Token No | SM/22-23/7242 29/12/2022 | Serial | 003 |
| Patient Name | Mrs. SHARMA BHOWMICK | Contact No | NOT GIVEN |
| Address | PANDIT KALINATH BHATTACHARJEE STREET | Age | 26 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||