Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12221 | Date 08/10/2024 |
| Token No | SM/24-25/19266 08/10/2024 | Serial | 005 |
| Patient Name | Mrs. MOUSUMI PAUL DUTTA | Contact No | 8910832174 |
| Address | 29/A J.GHAT LANE | Age | 27 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||