Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11642 | Date 11/06/2024 |
| Token No | SM/24-25/16827 11/06/2024 | Serial | 035 |
| Patient Name | Mrs. DR.SUTAPA CHATTOPADHYAY | Contact No | 9830213656 |
| Address | 86/1/A DEY STREET | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||