Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13505 | Date 10/09/2025 |
| Token No | SM/25-26/2000 10/09/2025 | Serial | 027 |
| Patient Name | Mrs. RITU DEY ADHIKARI | Contact No | 7278811297 |
| Address | 17 NN COLONY | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||