Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12501 | Date 30/12/2024 |
| Token No | SM/24-25/20395 30/12/2024 | Serial | 002 |
| Patient Name | Mrs. ANJALI CHAKRABORTY | Contact No | NOT GIVEN |
| Address | NALIKUL | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||