Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13358 | Date 07/08/2025 |
| Token No | SM/25-26/1591 07/08/2025 | Serial | 035 |
| Patient Name | Mrs. PUJA GHOSH( KUNDU) | Contact No | 6289642286 |
| Address | 27 NO DHULIPARA | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||