Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13288 | Date 24/07/2025 |
| Token No | SM/25-26/1488 30/07/2025 | Serial | 028 |
| Patient Name | Mr. RIYANK MONDAL | Contact No | 8777368152 |
| Address | 105C N.N. COLONY | Age | 6 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||