Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13281 | Date 23/07/2025 |
| Token No | SM/25-26/1352 23/07/2025 | Serial | 025 |
| Patient Name | Mrs. SATHI CHATTERJEE | Contact No | 8961127278 |
| Address | 25 NO N N COLONY | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||