Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12875 | Date 09/04/2025 |
| Token No | SM/25-26/131 10/04/2025 | Serial | 022 |
| Patient Name | Mrs. INDIRA KOLEY | Contact No | 9903862723 |
| Address | 23/A/1 PANCHANANTALA LANE | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||