Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05496 | Date 07/03/2022 |
| Token No | SM/21-22/2366 08/03/2022 | Serial | 032 |
| Patient Name | Mrs. BARNA DAS | Contact No | 9073383278 |
| Address | 75 K M SHA STREET | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||