Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11701 | Date 25/06/2024 |
| Token No | SM/24-25/17162 26/06/2024 | Serial | 016 |
| Patient Name | Miss ANJALI KUMARI | Contact No | 7890362001 |
| Address | DR. N L BHATTACHARJEE STREET | Age | 15 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||