Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13090 | Date 10/06/2025 |
| Token No | SM/25-26/772 11/06/2025 | Serial | 035 |
| Patient Name | Mrs. DISHARI BHATTACHARJEE | Contact No | 8981554206 |
| Address | 113 NEHERU NAGAR COLONY | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||