Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07995 | Date 21/12/2022 |
| Token No | SM/22-23/12384 11/09/2023 | Serial | 002 |
| Patient Name | Mrs. MALATI DAS. | Contact No | NOT GIVEN |
| Address | K M SHA STREET | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||