Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12982 | Date 13/05/2025 |
| Token No | SM/25-26/436 13/05/2025 | Serial | 001 |
| Patient Name | Mrs. ANINDITA SAMANTA | Contact No | 9064036409 |
| Address | TARAKESWAR | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||