Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12193 | Date 04/10/2024 |
| Token No | SM/24-25/19169 04/10/2024 | Serial | 004 |
| Patient Name | Mrs. DIPTI GOSWAMI | Contact No | 8420281833 |
| Address | 27, B.L.C.MILLS BYE LANE SERAMPORE | Age | 52 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||