Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13337 | Date 06/08/2025 |
| Token No | SM/25-26/2821 01/12/2025 | Serial | 005 |
| Patient Name | Mrs. ARPITA KAR ( JANA) | Contact No | 9330540482 |
| Address | 30/K SB GHOSH LANE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||