Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13450 | Date 01/09/2025 |
| Token No | SM/25-26/1848 01/09/2025 | Serial | 048 |
| Patient Name | Mrs. KIRAN LAL | Contact No | 8617792822 |
| Address | D2/11 RHE GANGULY BAGAN , MAHESH | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||