Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11914 | Date 07/08/2024 |
| Token No | SM/24-25/17998 07/08/2024 | Serial | 041 |
| Patient Name | Mrs. SUNANDA DAS | Contact No | 7980193579 |
| Address | 40/A/4/A BHAGIRATHI LANE | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||