Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 14974 | Date 22/10/2026 |
| Token No | SM/25-26/6056 26/10/2026 | Serial | 006 |
| Patient Name | Mrs. MINA DEBI | Contact No | 9681748300 |
| Address | 35 K M BHATTACHARJEE STREET | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||