Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12967 | Date 07/05/2025 |
| Token No | SM/25-26/412 08/05/2025 | Serial | 003 |
| Patient Name | Miss RAGINI KUMARI | Contact No | 8777314246 |
| Address | 2 GOPAL GANGULY LANE | Age | 7 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||