Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 04015 | Date 25/08/2020 |
| Token No | SM/25-26/1774 28/08/2025 | Serial | 022 |
| Patient Name | Mrs. DIPALI SAHA | Contact No | 8697632909 |
| Address | MAHESH NEHEREU NAGAR COLONY | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||