Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09668 | Date 30/07/2025 |
| Token No | SM/25-26/5558 30/07/2025 | Serial | 024 |
| Patient Name | Mrs. MOUMITA MAHATO | Contact No | 8420081906 |
| Address | BALLY DURGAPUR HOWRAH 711205 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||