Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12241 | Date 18/10/2024 |
| Token No | SM/24-25/19325 18/10/2024 | Serial | 003 |
| Patient Name | Mrs. ENAKSHI BISWAS | Contact No | 7685839454 |
| Address | 348/1 MAHESH COLONY | Age | 29 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||