Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09959 | Date 14/08/2023 |
| Token No | SM/22-23/11666 16/08/2023 | Serial | 039 |
| Patient Name | Mrs. ANJANA PASWAN | Contact No | 9073583182 |
| Address | 6/B1 S B GHOSH LANE | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||