Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09638 | Date 25/07/2025 |
| Token No | SM/25-26/5320 25/07/2025 | Serial | 002 |
| Patient Name | Mrs. ANULEKHA NAYAK | Contact No | 9749298083 |
| Address | NABAKRISHNA GUIN LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||