Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12070 | Date 06/09/2024 |
| Token No | SM/24-25/18671 09/09/2024 | Serial | 004 |
| Patient Name | Mrs. SWAPNA RAM | Contact No | 6289361902 |
| Address | 2 GOPAL GANGULY LANE | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||