Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09102 | Date 12/04/2025 |
| Token No | SM/25-26/858 19/04/2025 | Serial | 026 |
| Patient Name | Mrs. SANGITA PATRA | Contact No | 8017197331 |
| Address | 3 LENIN SARANI SERAMPORE MALLICKPARA 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||