Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11263 | Date 11/03/2024 |
| Token No | SM/25-26/1347 23/07/2025 | Serial | 020 |
| Patient Name | Mrs. TUTIKA HEMLATA | Contact No | 9062270611 |
| Address | 5/C BLC MILLS ROAD | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||