Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10233 | Date 27/11/2025 |
| Token No | SM/25-26/11098 27/11/2025 | Serial | 051 |
| Patient Name | Mrs. NAGMA KHATUN | Contact No | 8910920743 |
| Address | 2 PARSHI LANE SERAMPORE 712202 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||