Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12242 | Date 18/10/2024 |
| Token No | SM/24-25/19326 18/10/2024 | Serial | 004 |
| Patient Name | Mrs. PUJA DEY | Contact No | 8777693573 |
| Address | BANGALAKKHI BYE LANE | Age | 30 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||