Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08820 | Date 24/04/2023 |
| Token No | SM/24-25/18543 02/09/2024 | Serial | 024 |
| Patient Name | Mrs. GITA RAJBHAR | Contact No | 9831165762 |
| Address | TIN BAZAR, SERAMPORE | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||