Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11634 | Date 10/06/2024 |
| Token No | SM/24-25/18871 19/09/2024 | Serial | 018 |
| Patient Name | Mrs. SINITA MURMU,., | Contact No | 8145403012 |
| Address | 25 SASHIBHUSAN GHOSH LANE(4TH CHEKUP) | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||