Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10243 | Date 29/11/2025 |
| Token No | SM/25-26/11290 01/12/2025 | Serial | 018 |
| Patient Name | Mrs. MUSKAN KHATOON | Contact No | 9330141635 |
| Address | GOURANGAPUR BIGHATI HOOGHLY 712124 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||