Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07635 | Date 14/11/2022 |
| Token No | SM/22-23/9369 03/05/2023 | Serial | 032 |
| Patient Name | Mrs. BASANTI PRADHAN. | Contact No | 9432819935 |
| Address | 2 GOPAL GANGULY LANE | Age | 43 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||