Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13361 | Date 11/08/2025 |
| Token No | SM/25-26/1665 13/08/2025 | Serial | 020 |
| Patient Name | Mrs. ANJU GHOSH | Contact No | 9903793988 |
| Address | 46A/B G T ROAD, MANIKTALA | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||