Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10257 | Date 01/09/2023 |
| Token No | SM/22-23/12247 04/09/2023 | Serial | 031 |
| Patient Name | Mrs. KRISHNA HALDER | Contact No | 8017951653 |
| Address | 105B N.N. COLONY | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||