Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06166 | Date 21/06/2022 |
| Token No | SM/22-23/10919 17/07/2023 | Serial | 002 |
| Patient Name | Mrs. MAMANI DEBNATH | Contact No | 6289666949 |
| Address | 38 L B S ROAD | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||