Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09771 | Date 25/07/2023 |
| Token No | SM/22-23/11291 01/08/2023 | Serial | 018 |
| Patient Name | Mrs. RUPA BAG | Contact No | 7044493377 |
| Address | 4 A B GARDEN LANE | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||