Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11797 | Date 16/07/2024 |
| Token No | SM/24-25/17606 18/07/2024 | Serial | 048 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 6291476035 |
| Address | 2 NO GOPAL GANGULI LANE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||