Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07432 | Date 11/07/2024 |
| Token No | SM/24-25/24890 12/07/2024 | Serial | 001 |
| Patient Name | Mrs. RUPSA DEY | Contact No | 7687922694 |
| Address | 57/41 S P MUKHERJEE SARANI 712201 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||