Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03597 | Date 10/12/2019 |
| Token No | SM/19-20/8057 14/12/2019 | Serial | 012 |
| Patient Name | Mrs. MILANBALA MONDAL | Contact No | 9903553261 |
| Address | 43/32/B/2 PRAVASH NAGAR | Age | 70 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||