Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12940 | Date 30/04/2025 |
| Token No | SM/25-26/371 05/05/2025 | Serial | 030 |
| Patient Name | Mrs. SHANTI KUMARI | Contact No | 7979901918 |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||