Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13089 | Date 10/06/2025 |
| Token No | SM/25-26/2069 15/09/2025 | Serial | 026 |
| Patient Name | Mrs. SNIGDHA MITRA | Contact No | 6202320358 |
| Address | 3 BECHU DEY LANE | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||