Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11860 | Date 29/07/2024 |
| Token No | SM/25-26/813 12/06/2025 | Serial | 038 |
| Patient Name | Mrs. SOVA SETH | Contact No | 8100375838 |
| Address | 10 CHATTERJEE LANE | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||