Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12589 | Date 29/01/2025 |
| Token No | SM/24-25/20771 29/01/2025 | Serial | 030 |
| Patient Name | Mrs. RUPA KHATUN | Contact No | 8981871735 |
| Address | 22 NO T.C. GOSWAMI LANE | Age | 30 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||