Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11639 | Date 11/06/2024 |
| Token No | SM/24-25/20013 02/12/2024 | Serial | 019 |
| Patient Name | Mrs. BIRAJINI DAS | Contact No | 8479051690 |
| Address | 6A DOSTI LANE | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||