Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02398 | Date 02/07/2019 |
| Token No | SM/21-22/1933 18/01/2022 | Serial | 013 |
| Patient Name | Mrs. SABITA DEY | Contact No | 9424690241 |
| Address | A B GARDEN LANE | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||