Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08275 | Date 07/02/2023 |
| Token No | SM/22-23/8160 02/03/2023 | Serial | 012 |
| Patient Name | Mrs. SWAGATA BHATTACHARJEE | Contact No | 8240767289 |
| Address | 23 NEHERU NAGAR COLONY | Age | 36 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||