Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10149 | Date 08/11/2025 |
| Token No | SM/25-26/10211 10/11/2025 | Serial | 025 |
| Patient Name | Mrs. INDRANI SAH | Contact No | 8013342657 |
| Address | 12/B RAILAND ROAD SEAMPORE M 712248 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||