Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07404 | Date 09/07/2024 |
| Token No | SM/24-25/24801 10/07/2024 | Serial | 035 |
| Patient Name | Mrs. BABY RAJAK | Contact No | 6289972303 |
| Address | 38/106/14 MILAN PALLY DAKSHIN PARA RISHRA 712250 | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||