Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09344 | Date 26/05/2025 |
| Token No | SM/25-26/2610 26/05/2025 | Serial | 061 |
| Patient Name | Mrs. BANDANA SHAW | Contact No | 8910462241 |
| Address | SERAMPORE 712201 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||