Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11954 | Date 13/08/2024 |
| Token No | SM/24-25/18251 17/08/2024 | Serial | 011 |
| Patient Name | Mrs. TANDRIMA DEY | Contact No | 9007529179 |
| Address | 7 DEY STREET | Age | 42 yrs Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||