Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12590 | Date 29/01/2025 |
| Token No | SM/24-25/20773 29/01/2025 | Serial | 032 |
| Patient Name | Mrs. ANJALI DEVI | Contact No | 7003843235 |
| Address | 30/A DEY BAGAN LANE | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||