Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11847 | Date 25/07/2024 |
| Token No | SM/24-25/17771 27/07/2024 | Serial | 001 |
| Patient Name | Mrs. JOOLY DAS | Contact No | 8961249578 |
| Address | 2 NO GOPAL GANGULI LANE (2ND CHEKUP) | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||