Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08708 | Date 05/04/2023 |
| Token No | SM/24-25/16657 03/06/2024 | Serial | 044 |
| Patient Name | Mr. MOUSUMI DAS | Contact No | 9883044618 |
| Address | 19/27 N C GHOSH SARANI, BAIDYABATI | Age | 43 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||