Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11834 | Date 22/07/2024 |
| Token No | SM/24-25/17684 22/07/2024 | Serial | 026 |
| Patient Name | Mrs. SONALI SHAW | Contact No | 6291138093 |
| Address | 55 NO RAILAND ROAD | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||