Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12303 | Date 07/11/2024 |
| Token No | SM/24-25/19597 07/11/2024 | Serial | 006 |
| Patient Name | Mrs. ANUSHREE SEN | Contact No | 7980213551 |
| Address | 44 PANDIT KALINATH BHATTACHARYA ST | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||