Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10133 | Date 03/11/2025 |
| Token No | SM/25-26/9909 04/11/2025 | Serial | 007 |
| Patient Name | Mrs. SANDHYA SINGH DAS | Contact No | 7430961946 |
| Address | BASUKI DHOBAPARA HOOGHLY 712512 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||