Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09580 | Date 16/07/2025 |
| Token No | SM/25-26/4828 17/07/2025 | Serial | 005 |
| Patient Name | Mrs. RUMA MALI | Contact No | 9163578190 |
| Address | 62/F G T ROAD PAMPA NAGAR BAIDYABATI M 712204 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||