Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12211 | Date 07/10/2024 |
| Token No | SM/24-25/19227 07/10/2024 | Serial | 014 |
| Patient Name | Mrs. MAMONI NATH | Contact No | 9007907582 |
| Address | 8 NO SATISH CH GHOSH LANE | Age | 30 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||