Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03419 | Date 18/11/2019 |
| Token No | SM/25-26/86 07/04/2025 | Serial | 030 |
| Patient Name | Mrs. BHARATI KUNDU | Contact No | 9007277341 |
| Address | NANILAL BHATTACHARYA ST | Age | 77 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||