Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10421 | Date 18/09/2023 |
| Token No | SM/22-23/12518 18/09/2023 | Serial | 001 |
| Patient Name | Miss SNIGDHA BISWAS | Contact No | 9836967809 |
| Address | Age | 11 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||