Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11344 | Date 01/04/2024 |
| Token No | SM/24-25/15617 03/04/2024 | Serial | 043 |
| Patient Name | Mrs. MIRA KARMAKAR | Contact No | 6289622884 |
| Address | 33 R.B.SARANI | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||