Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11580 | Date 29/05/2024 |
| Token No | SM/24-25/16577 29/05/2024 | Serial | 044 |
| Patient Name | Mrs. PRITI CHAKRABORTY | Contact No | 8240515440 |
| Address | 24 DEY STREET | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||