Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08556 | Date 15/03/2023 |
| Token No | SM/22-23/8446 21/03/2023 | Serial | 026 |
| Patient Name | Mrs. PURNIMA GHOSH | Contact No | 8420167011 |
| Address | 16C KAILASH CHATTERJEE LANE | Age | 18 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||