Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09892 | Date 04/09/2025 |
| Token No | SM/25-26/7510 04/09/2025 | Serial | 082 |
| Patient Name | Mrs. TAPADYUTI NEOGI | Contact No | 9432109159 |
| Address | TOWER H1 LOWER 6P | Age | 11 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||