Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11725 | Date 01/07/2024 |
| Token No | SM/24-25/17299 03/07/2024 | Serial | 026 |
| Patient Name | Mrs. SUMITRA DAS | Contact No | 9830156248 |
| Address | 54 DHULIPARA LANE | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||