Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08976 | Date 27/03/2025 |
| Token No | SM/24-25/37558 28/03/2025 | Serial | 004 |
| Patient Name | Mrs. MALINA GHOSH | Contact No | 7044734103 |
| Address | HARIHAR NURSARY DAKSHIN RAJYADHARPUR NALLICKPARA 712203 | Age | 72 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||