Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 12155 | Date 27/09/2024 |
| Token No | SM/24-25/19046 27/09/2024 | Serial | 005 |
| Patient Name | Mrs. ANJANA MUKHERJEE | Contact No | 9051126203 |
| Address | 5/D B.P.1ST LANE | Age | 47YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||