Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12579 | Date 27/01/2025 |
| Token No | SM/24-25/20723 27/01/2025 | Serial | 021 |
| Patient Name | Mrs. SAHANAJ BEGUM | Contact No | 7605824437 |
| Address | 49/A DR. N.L. B. ST | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||