Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12190 | Date 04/10/2024 |
| Token No | SM/24-25/19166 04/10/2024 | Serial | 001 |
| Patient Name | Mrs. DOLA GANGULI | Contact No | 9231553895 |
| Address | 1/A B.P.1ST LANE MAHESH SERAMPORE | Age | 41YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||