Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11581 | Date 29/05/2024 |
| Token No | SM/24-25/16578 29/05/2024 | Serial | 045 |
| Patient Name | Mrs. BANDANA SINHA DEY | Contact No | 9836708270 |
| Address | 6 NATUN BAGAN LANE | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||