Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12417 | Date 02/12/2024 |
| Token No | SM/24-25/20012 02/12/2024 | Serial | 018 |
| Patient Name | Mrs. TANIA BRAHMA | Contact No | 9123938191 |
| Address | 24/1 DIBAKAR LANE | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||