Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08106 | Date 04/01/2023 |
| Token No | SM/22-23/7372 05/01/2023 | Serial | 007 |
| Patient Name | Mrs. PADMA GHOSH | Contact No | 9875698071 |
| Address | MANKUNDU, MADHABPUR | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||