Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07900 | Date 17/09/2024 |
| Token No | SM/24-25/28268 17/09/2024 | Serial | 005 |
| Patient Name | Mrs. SAHELI SARKAR | Contact No | 8961447229 |
| Address | 131 NEHERU NAGAR COLONY SERAMPORE 712202 | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||