Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08363 | Date 16/02/2023 |
| Token No | SM/22-23/7904 16/02/2023 | Serial | 039 |
| Patient Name | Mrs. SUMANA DAS | Contact No | |
| Address | serampore | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||