Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11769 | Date 10/07/2024 |
| Token No | SM/24-25/17494 11/07/2024 | Serial | 045 |
| Patient Name | Mrs. BHARATI DEBNATH | Contact No | 9088123433 |
| Address | 3/B 5/B BROJO DUTTA LANE | Age | 59 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||