Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13211 | Date 07/07/2025 |
| Token No | SM/25-26/1120 07/07/2025 | Serial | 024 |
| Patient Name | Mrs. SOHINI DAS | Contact No | 8768018306 |
| Address | BATTALA,MADHUKUNJA APARTMENT | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||