Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 13743 | Date 18/11/2025 |
| Token No | SM/25-26/2687 20/11/2025 | Serial | 001 |
| Patient Name | Mr. TARUN KUMAR KUNDU | Contact No | 9883925448 |
| Address | 11 THAKURDASBABU LANE | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||