Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10122 | Date 24/08/2023 |
| Token No | SM/22-23/12049 28/08/2023 | Serial | 051 |
| Patient Name | Mrs. SUJATA BAG | Contact No | 9051638125 |
| Address | 3 PITAMBAR DEY LANE | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||