Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07864 | Date 01/12/2022 |
| Token No | SM/25-26/1361 23/07/2025 | Serial | 034 |
| Patient Name | Miss ANUSHREE PAL | Contact No | 8777787965 |
| Address | 44/1/E DR. N. L. BHATTACHARYA STREET | Age | 3 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||