Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13407 | Date 20/08/2025 |
| Token No | SM/25-26/1727 22/08/2025 | Serial | 003 |
| Patient Name | Miss ARDHIYA BHUIYA | Contact No | 9330376978 |
| Address | NAIHATI ( LOCAL J.N. LAHIRI ROAD) | Age | 10 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||