Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 11171 | Date 28/09/2026 |
| Token No | SM/25-26/22642 26/10/2026 | Serial | 032 |
| Patient Name | Mrs. SANDHYA PAL | Contact No | 6291062083 |
| Address | 152 RAJYADHARPUR GOVT COLONY 712203 | Age | 58 Years,6 Months,24 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 124/63 mmHg | Weight | 57 KG |
| Pulse Rate | 96 / min | Height | cm |
| Diagnosis | |||