Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12616 | Date 05/02/2025 |
| Token No | SM/24-25/20863 06/02/2025 | Serial | 019 |
| Patient Name | Mrs. BANI HALDER | Contact No | 9163575948 |
| Address | 104 N N COLONY | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||