Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12948 | Date 03/05/2025 |
| Token No | SM/25-26/531 22/05/2025 | Serial | 001 |
| Patient Name | Mrs. CHHABIRANI KUNDU | Contact No | 7059776639 |
| Address | 36 A K C BHATTACHARJEE STREET | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||