Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09901 | Date 08/08/2023 |
| Token No | SM/22-23/11506 09/08/2023 | Serial | 024 |
| Patient Name | Mrs. SHILA GURIA | Contact No | 8017572113 |
| Address | 105B N N COLONY | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||