Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12006 | Date 28/08/2024 |
| Token No | SM/24-25/18473 29/08/2024 | Serial | 037 |
| Patient Name | Miss SOUMILI DEY | Contact No | 8100014145 |
| Address | 7 CHATTERJEE LANE | Age | 11 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||