Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11345 | Date 01/04/2024 |
| Token No | SM/24-25/15602 03/04/2024 | Serial | 028 |
| Patient Name | Mrs. DALIYA NANDI | Contact No | 9830598667 |
| Address | BANERJEE PARA | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||