Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10016 | Date 18/08/2023 |
| Token No | SM/25-26/1116 07/07/2025 | Serial | 020 |
| Patient Name | Mrs. ARATI KUNDU | Contact No | NOT GIVEN |
| Address | 49 KHAS BAGAN | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||