Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13579 | Date 09/10/2025 |
| Token No | SM/25-26/2612 13/11/2025 | Serial | 014 |
| Patient Name | Mrs. DEBASHREE SEN | Contact No | 8240642967 |
| Address | 35/A/1 S.B. GHOSH LANE | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||