Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08823 | Date 04/03/2025 |
| Token No | SM/24-25/36348 04/03/2025 | Serial | 003 |
| Patient Name | Mrs. CHINMAYEE KUMAR | Contact No | 9732123991 |
| Address | KALNA BURDWAN 713409 | Age | 76 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||