Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 10606 | Date 30/09/2023 |
| Token No | SM/22-23/12870 30/09/2023 | Serial | 005 |
| Patient Name | Mrs. SHEFALI DEY | Contact No | 9903237337 |
| Address | 6/35/1/A BP 1ST LANE | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||