Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07742 | Date 24/08/2024 |
| Token No | SM/24-25/27212 27/08/2024 | Serial | 001 |
| Patient Name | Mrs. USHA DEVI THAKUR | Contact No | 9007303090 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||