Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 09943 | Date 12/09/2025 |
| Token No | SM/25-26/7886 12/09/2025 | Serial | 001 |
| Patient Name | Mrs. RITAMA SINGH | Contact No | 9330220576 |
| Address | 84/6 KB LANE SERAMPORE 712248 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||