Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09270 | Date 08/06/2023 |
| Token No | SM/22-23/12528 20/09/2023 | Serial | 005 |
| Patient Name | Mrs. ALOKA DEY | Contact No | 9836711877 |
| Address | 90/C/6 DEY STREET | Age | 63 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||