Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10259 | Date 02/12/2025 |
| Token No | SM/25-26/11342 02/12/2025 | Serial | 004 |
| Patient Name | Mrs. MITHUN BHUINYA | Contact No | 8777467715 |
| Address | J N LAHIRI ROAD SERAMPORE 712201 | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||