Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08532 | Date 13/03/2023 |
| Token No | SM/24-25/18300 21/08/2024 | Serial | 014 |
| Patient Name | Mrs. RITA MUKHERJEE | Contact No | |
| Address | 25B KAILASH CHATTERJEE LANE | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||