Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11014 | Date 03/01/2024 |
| Token No | SM/22-23/14093 03/01/2024 | Serial | 050 |
| Patient Name | Mrs. RITU SARKAR | Contact No | 88207597 |
| Address | 19 AKRABATI LANE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||