Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08340 | Date 03/12/2024 |
| Token No | SM/24-25/32214 04/12/2024 | Serial | 011 |
| Patient Name | Mrs. SUMAIYA BIBI | Contact No | 6291114152 |
| Address | 26/D MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||