Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08399 | Date 16/12/2024 |
| Token No | SM/24-25/32852 17/12/2024 | Serial | 004 |
| Patient Name | Mrs. DEBJANI ROY DEBNATH | Contact No | 6291968202 |
| Address | 19 SERAMPORE MALLICKPARA 712203 | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||