Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12239 | Date 18/10/2024 |
| Token No | SM/24-25/19323 18/10/2024 | Serial | 001 |
| Patient Name | Mrs. GOURI CHATTERJEE | Contact No | 8334909406 |
| Address | 42 GANGULY BAGAN LANE SERAMPORE | Age | 48 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||