Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07660 | Date 13/08/2024 |
| Token No | SM/24-25/26543 13/08/2024 | Serial | 003 |
| Patient Name | Mrs. SABITA BHATTACHARYA | Contact No | 9804876795 |
| Address | 10/A B L C ROAD SERAMPORE 712202 | Age | 43 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||