Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09677 | Date 18/07/2023 |
| Token No | SM/22-23/11006 18/07/2023 | Serial | 040 |
| Patient Name | Mrs. GITA RANI MONDAL | Contact No | 8585021851 |
| Address | Age | 62 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||