Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07242 | Date 14/10/2022 |
| Token No | SM/22-23/7631 01/02/2023 | Serial | 026 |
| Patient Name | Mrs. KEYA BANDOPADHYAY | Contact No | 6289931656 |
| Address | 26/B CHOWDHURY PARA | Age | 51 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||