Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12222 | Date 08/10/2024 |
| Token No | SM/24-25/19267 08/10/2024 | Serial | 006 |
| Patient Name | Miss SAHELI SAHA | Contact No | 7439503989 |
| Address | 3/198 MAHESH COLONY SERAMPORE | Age | 18YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||