Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09290 | Date 14/05/2025 |
| Token No | SM/25-26/2033 14/05/2025 | Serial | 080 |
| Patient Name | Mrs. ANJALI KUMARI | Contact No | 8910048060 |
| Address | H/G .38 SERAMPORE 712248 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||