Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05407 | Date 10/02/2022 |
| Token No | SM/21-22/2140 11/02/2022 | Serial | 010 |
| Patient Name | Mrs. KUMKUM SAHA | Contact No | 9480382506 |
| Address | 68 K M SHA STREET | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||