Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01800 | Date 01/06/2022 |
| Token No | SM/25-26/204 03/04/2025 | Serial | 086 |
| Patient Name | Mrs. RITUPARNA SADHUKHAN | Contact No | 9775763511 |
| Address | PANDUA | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||