Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12354 | Date 18/11/2024 |
| Token No | SM/24-25/19765 18/11/2024 | Serial | 006 |
| Patient Name | Mrs. SARBANI DATTA ROY | Contact No | 9330296698 |
| Address | 362/1MAHESH COLONY | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||