Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11270 | Date 11/03/2024 |
| Token No | SM/24-25/16100 06/05/2024 | Serial | 041 |
| Patient Name | Mrs. SUSMITA DAS | Contact No | 7980353441 |
| Address | 45/A PANCHANANTALA LANE | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||