Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08260 | Date 06/02/2023 |
| Token No | SM/25-26/1881 03/09/2025 | Serial | 016 |
| Patient Name | Mrs. BITHIKA ADHIKARY | Contact No | 7449961225 |
| Address | 78/25/F TELIPARA BAIDYABATI (M) | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||