Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11646 | Date 12/06/2024 |
| Token No | SM/24-25/19511 30/10/2024 | Serial | 004 |
| Patient Name | Mrs. SOMA DAS. | Contact No | 9163764482 |
| Address | DHULIPARA LANE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||