Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08210 | Date 31/01/2023 |
| Token No | SM/22-23/7598 31/01/2023 | Serial | 045 |
| Patient Name | Mrs. JYOSTNA BANERJEE | Contact No | 7596956398 |
| Address | 171D BHAGIRATHI LANE | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||