Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12700 | Date 24/02/2025 |
| Token No | SM/24-25/21108 24/02/2025 | Serial | 028 |
| Patient Name | Mrs. PRITI RAI | Contact No | 9919136982 |
| Address | 28/34 SASHIBHUSAN GHOSH LANE | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||