Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12220 | Date 08/10/2024 |
| Token No | SM/24-25/19265 08/10/2024 | Serial | 004 |
| Patient Name | Mrs. BHAGYASRI PAL | Contact No | 6289881253 |
| Address | 10/J MANSATALA LANE | Age | 31 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||