Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09637 | Date 25/07/2025 |
| Token No | SM/25-26/5319 25/07/2025 | Serial | 001 |
| Patient Name | Mrs. ANINDITA NAYAK MANDAL | Contact No | 9749298083 |
| Address | NABAKRISHNA GUIN LANE SERAMPORE | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||