Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11815 | Date 18/07/2024 |
| Token No | SM/24-25/17612 18/07/2024 | Serial | 054 |
| Patient Name | Mrs. BANDANA PAL | Contact No | 9330893507 |
| Address | DR. N.L. BHATTACHARYA ST | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||