Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12406 | Date 28/11/2024 |
| Token No | SM/24-25/19967 28/11/2024 | Serial | 018 |
| Patient Name | Mrs. MITALI DUTTA | Contact No | 8348546181 |
| Address | 7 NO GOBINDA CHANDRA BHATTACHARJEE LANE | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||