Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 13447 | Date 01/09/2025 |
| Token No | SM/25-26/1845 01/09/2025 | Serial | 045 |
| Patient Name | Mrs. SANCHITA PAL MONDAL | Contact No | 8961362312 |
| Address | 276 GT ROAD | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||