Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13393 | Date 14/08/2025 |
| Token No | SM/25-26/1697 14/08/2025 | Serial | 029 |
| Patient Name | Mrs. B. ANKITA | Contact No | 8981343478 |
| Address | SERAMPORE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||