Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07305 | Date 18/10/2022 |
| Token No | SM/25-26/95 09/04/2025 | Serial | 002 |
| Patient Name | Mrs. RINA KUNDU | Contact No | 9051310783 |
| Address | 543 G T ROAD, MANIKTALA | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||