Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10999 | Date 28/12/2023 |
| Token No | SM/24-25/18774 12/09/2024 | Serial | 011 |
| Patient Name | Miss SHREYA MONDAL | Contact No | |
| Address | Age | 25 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||