Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08349 | Date 16/02/2023 |
| Token No | SM/25-26/854 16/06/2025 | Serial | 019 |
| Patient Name | Mrs. KALYANI DEY. | Contact No | 7685849861 |
| Address | 140 G T ROAD, MANIKTALA | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||