Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09998 | Date 17/08/2023 |
| Token No | SM/22-23/11694 17/08/2023 | Serial | 014 |
| Patient Name | Mrs. NISHA CHOUDHURY | Contact No | 8910151032 |
| Address | RAY LAND ROAD | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||