Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08925 | Date 20/03/2025 |
| Token No | SM/24-25/37219 21/03/2025 | Serial | 010 |
| Patient Name | Mrs. TUKTUKI MONDAL | Contact No | 9749773305 |
| Address | SADGOPE PARA LANE VIVEKANANDA SARANI BAIDYABATI M 712203 | Age | 43 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||