Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11622 | Date 06/06/2024 |
| Token No | SM/24-25/19990 30/11/2024 | Serial | 001 |
| Patient Name | Mrs. ANJANA CHAUDHURI SUR | Contact No | 8902497794 |
| Address | 1/1 CHATTERJEE PARA LANE | Age | 67 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||