Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10166 | Date 28/08/2023 |
| Token No | SM/22-23/12107 29/08/2023 | Serial | 040 |
| Patient Name | Mrs. CHAITALI DAS | Contact No | 7044735410 |
| Address | 7NO ANANTH BANDHU MUKHERJEE LANE | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||