Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10360 | Date 12/09/2023 |
| Token No | SM/24-25/15605 03/04/2024 | Serial | 031 |
| Patient Name | Mrs. SHANTI DEBI | Contact No | 8910654161 |
| Address | 29 K M BHATTACHARJEE STREET | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||