Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10587 | Date 27/02/2026 |
| Token No | SM/25-26/15460 02/03/2026 | Serial | 036 |
| Patient Name | Mrs. PINKI GOYALA | Contact No | |
| Address | SERAMPORE | Age | 26 Years,0 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||