Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08843 | Date 24/04/2023 |
| Token No | SM/22-23/10264 15/06/2023 | Serial | 051 |
| Patient Name | Mrs. PRITY DEBI | Contact No | 7980358838 |
| Address | DEY STREET | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||