Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08734 | Date 15/02/2025 |
| Token No | SM/24-25/35681 15/02/2025 | Serial | 006 |
| Patient Name | Mrs. SUPARNA DEBNATH | Contact No | |
| Address | 6/A RAILAND CIRCULAR ROAD | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||