Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12344 | Date 14/11/2024 |
| Token No | SM/24-25/19724 14/11/2024 | Serial | 031 |
| Patient Name | Mrs. KAJAL DAS | Contact No | 9007679678 |
| Address | 24AKC BHATTACHARJEE ST | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||