Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13869 | Date 15/12/2025 |
| Token No | SM/25-26/2999 15/12/2025 | Serial | 001 |
| Patient Name | Mr. BUDDHADEB MUKHERJEE | Contact No | 9836617040 |
| Address | 101/A NEHERU NAGAR COLONY | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||