Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11596 | Date 03/06/2024 |
| Token No | SM/24-25/16740 06/06/2024 | Serial | 042 |
| Patient Name | Mrs. NAMITA GHOSH | Contact No | 9007645502 |
| Address | T B STREET | Age | 62 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||