Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02585 | Date 23/07/2019 |
| Token No | SM/24-25/18765 12/09/2024 | Serial | 002 |
| Patient Name | Mrs. REKHA SHIL | Contact No | 9681777265 |
| Address | BANERJEE PARA | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||