Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12289 | Date 30/10/2024 |
| Token No | SM/24-25/19731 14/11/2024 | Serial | 038 |
| Patient Name | Mrs. MINA DEBI SHAW | Contact No | 7059509622 |
| Address | 4/A A.B. MUKHERJEE LANE | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||