Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13854 | Date 11/12/2025 |
| Token No | SM/25-26/2968 11/12/2025 | Serial | 016 |
| Patient Name | Mrs. ANTARA GHOSAL | Contact No | 8250700514 |
| Address | MISTI APARTMENT 3RD FLOOR | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||