Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12217 | Date 08/10/2024 |
| Token No | SM/24-25/19262 08/10/2024 | Serial | 001 |
| Patient Name | Miss MEGHNA SHAW,., | Contact No | 8100691729 |
| Address | 23B SHIBTALA LANE SERAMPORE | Age | 21 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||