Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12772 | Date 12/03/2025 |
| Token No | SM/24-25/21304 12/03/2025 | Serial | 020 |
| Patient Name | Mrs. NEHA KHATUN | Contact No | 8420183626 |
| Address | 59 NO PATUAPARA LANE | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||