Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10082 | Date 22/08/2023 |
| Token No | SM/22-23/11926 23/08/2023 | Serial | 048 |
| Patient Name | Mrs. SOBHA NATH | Contact No | NOT GIVEN |
| Address | TAL PUKUR | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||