Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09418 | Date 09/06/2025 |
| Token No | SM/25-26/3315 11/06/2025 | Serial | 032 |
| Patient Name | Miss SARMISTHA BAG | Contact No | 7003413044 |
| Address | KATAPOL SERAMPORE 712201 | Age | 10 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||