Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09095 | Date 11/04/2025 |
| Token No | SM/25-26/592 11/04/2025 | Serial | 004 |
| Patient Name | Mrs. JYOTSNA BHATTACHARJEE | Contact No | 9051612198 |
| Address | 82 THAKUR BASTI STREET | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||