Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11207 | Date 28/02/2024 |
| Token No | SM/22-23/14996 28/02/2024 | Serial | 034 |
| Patient Name | Mrs. SANDHYA HALDER | Contact No | 6291076135 |
| Address | 105/B N.N. COLONY | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||