Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08424 | Date 22/02/2023 |
| Token No | SM/25-26/512 19/05/2025 | Serial | 025 |
| Patient Name | Mrs. SNIGDHA DEBNATH | Contact No | 7890531020 |
| Address | 223/H/1 G.T. ROAD | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||