Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12752 | Date 10/03/2025 |
| Token No | SM/24-25/21269 10/03/2025 | Serial | 011 |
| Patient Name | Miss RUPSA DASGUPTA | Contact No | 6290425792 |
| Address | SONARBANGLA,MAHESH | Age | 15 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||