Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13884 | Date 20/12/2025 |
| Token No | SM/25-26/3109 29/12/2025 | Serial | 015 |
| Patient Name | Mrs. SUDHA MUKHERJEE | Contact No | 7439603899 |
| Address | 101A NEHERU NAGAR COLONY | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||