Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13578 | Date 09/10/2025 |
| Token No | SM/25-26/2278 14/10/2025 | Serial | 001 |
| Patient Name | Mrs. SNIGDHA SEN | Contact No | 8240642967 |
| Address | 35/A/1 S.B. GHOSH LANE | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||