Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09259 | Date 09/05/2025 |
| Token No | SM/25-26/1837 10/05/2025 | Serial | 018 |
| Patient Name | Mrs. SONALI MONDAL | Contact No | 9062270843 |
| Address | GHORAMARA P SERAMPORE HOOGHLY 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||