Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09388 | Date 16/06/2023 |
| Token No | SM/22-23/10314 19/06/2023 | Serial | 001 |
| Patient Name | Mrs. SHRABANI SARNAKAR | Contact No | 8479814415 |
| Address | 8 NOTUN BAGAN LANE | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||