Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11499 | Date 09/05/2024 |
| Token No | SM/24-25/16229 13/05/2024 | Serial | 035 |
| Patient Name | Mrs. ANNU KUMARI DAS | Contact No | 8617780255 |
| Address | 48/1 PATUA PARA LANE | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||