Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07433 | Date 28/10/2022 |
| Token No | SM/25-26/2595 12/11/2025 | Serial | 022 |
| Patient Name | Miss KRITIKA PRADHAN | Contact No | 8420775686 |
| Address | 3 BECHU DEY L;ANE | Age | 10 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||