Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12762 | Date 12/03/2025 |
| Token No | SM/24-25/21313 13/03/2025 | Serial | 002 |
| Patient Name | Mrs. RANJU DEBI | Contact No | 9038220273 |
| Address | 8 K C B LANE | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||