Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09708 | Date 20/07/2023 |
| Token No | SM/22-23/11419 04/08/2023 | Serial | 047 |
| Patient Name | Mrs. MIRA DEBI | Contact No | 6291830312 |
| Address | 18 DHARMATALA LANE | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||