Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12827 | Date 24/03/2025 |
| Token No | SM/24-25/21461 24/03/2025 | Serial | 020 |
| Patient Name | Mrs. PUJA CHOWDHURY | Contact No | 8910378182 |
| Address | 55/A RAYLAND ROAD | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||