Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09640 | Date 17/07/2023 |
| Token No | SM/22-23/11000 18/07/2023 | Serial | 034 |
| Patient Name | Mrs. RASIDA BEGUM. | Contact No | NOT GIVEN |
| Address | 4 RAIGHAT LANE | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||