Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08920 | Date 28/04/2023 |
| Token No | SM/22-23/9613 17/05/2023 | Serial | 007 |
| Patient Name | Mr. MANJU DEBI... | Contact No | 8334915194 |
| Address | N L BHATTACHARJEE STREET | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||