Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12346 | Date 14/11/2024 |
| Token No | SM/24-25/19729 14/11/2024 | Serial | 036 |
| Patient Name | Mrs. RUKSANA BIBI | Contact No | 9051419046 |
| Address | 49 DR. NANILAL BHATTACHARJEE ST | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||