Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07746 | Date 27/08/2024 |
| Token No | SM/24-25/27214 27/08/2024 | Serial | 003 |
| Patient Name | Mrs. ARPITA DUTTA | Contact No | 7596834452 |
| Address | K C C SARANI JAGADHARTI PALLY BHADESWAR 712124 | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||