Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13066 | Date 03/06/2025 |
| Token No | SM/25-26/638 04/06/2025 | Serial | 003 |
| Patient Name | Mrs. RIYA PASWAN | Contact No | 7605837230 |
| Address | SERAMPORE PACHUBAZAR | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||