Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07061 | Date 16/09/2022 |
| Token No | SM/24-25/16741 06/06/2024 | Serial | 043 |
| Patient Name | Miss LABANI NANDI | Contact No | 6290811176 |
| Address | BANERJEE PARA | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||