Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12829 | Date 27/03/2025 |
| Token No | SM/24-25/21473 27/03/2025 | Serial | 004 |
| Patient Name | Mrs. SUSMITA ATTA | Contact No | 9088356525 |
| Address | 26/A KHASBAGAN LANE | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||