Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11958 | Date 13/08/2024 |
| Token No | SM/24-25/18186 14/08/2024 | Serial | 021 |
| Patient Name | Mrs. SUPRIYA BHUIMALI | Contact No | 8910376925 |
| Address | 4/C SASHIBHUSAN GHOSH LANE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||