Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12153 | Date 27/09/2024 |
| Token No | SM/24-25/19044 27/09/2024 | Serial | 003 |
| Patient Name | Mrs. HASI SINGH | Contact No | 7687929046 |
| Address | 7,THAKURBATI STREET MANIKTALA SERAMPORE | Age | 57YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||