Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12425 | Date 04/12/2024 |
| Token No | SM/24-25/20042 04/12/2024 | Serial | 008 |
| Patient Name | Mrs. CHANDNA BISWAS | Contact No | 8337889601 |
| Address | DHARMATALA,SERAMPORE | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||