Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07902 | Date 17/09/2024 |
| Token No | SM/24-25/28301 18/09/2024 | Serial | 003 |
| Patient Name | Mrs. LAXMI ROY | Contact No | 9681828361 |
| Address | KATAPOL SERAMPORE | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||