Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10485 | Date 22/09/2023 |
| Token No | SM/22-23/12760 27/09/2023 | Serial | 030 |
| Patient Name | Miss RIYASA DUTTA | Contact No | 9330099262 |
| Address | 3/A BROJO DUTTA LANE | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||