Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12148 | Date 26/09/2024 |
| Token No | SM/24-25/21190 05/03/2025 | Serial | 008 |
| Patient Name | Mrs. CHANCHALA GHOSH | Contact No | 9804062448 |
| Address | RAMCHANDRAPUR,DIARA | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||