Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09135 | Date 22/05/2023 |
| Token No | SM/24-25/21212 05/03/2025 | Serial | 030 |
| Patient Name | Mrs. URMILA RAM | Contact No | 9163732655 |
| Address | 2 GOPAL GANGULY LANE | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||