Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08181 | Date 11/11/2024 |
| Token No | SM/24-25/30935 12/11/2024 | Serial | 007 |
| Patient Name | Mrs. SANTI HARI | Contact No | 8017403567 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||