Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 04417 | Date 31/05/2021 |
| Token No | SM/24-25/21021 19/02/2025 | Serial | 013 |
| Patient Name | Mrs. SUMITA GHOSH | Contact No | 9062334931 |
| Address | 33 AKHRA BATI | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||