Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10044 | Date 21/08/2023 |
| Token No | SM/22-23/14127 04/01/2024 | Serial | 029 |
| Patient Name | Mrs. PUJA DEBI | Contact No | 6350490226 |
| Address | 2 GOPAL GANGULY LANE | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||