Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11442 | Date 24/04/2024 |
| Token No | SM/24-25/15961 24/04/2024 | Serial | 030 |
| Patient Name | Mrs. SRIPARNA PAL DAS | Contact No | 8017284478 |
| Address | 28/1 NANILAL BHATTACHARJA ST | Age | 35 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||