Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09297 | Date 12/06/2023 |
| Token No | SM/22-23/10170 13/06/2023 | Serial | 032 |
| Patient Name | Mrs. SARALA CHOWDHURY | Contact No | 9883966816 |
| Address | 15 LBS ROAD | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||