Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12111 | Date 19/09/2024 |
| Token No | SM/24-25/18879 19/09/2024 | Serial | 026 |
| Patient Name | Mrs. RIMPA GHOSH PAUL | Contact No | 9547766936 |
| Address | 132C THAKURBATI ST(1ST CHEKUP) | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||