Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10500 | Date 25/09/2023 |
| Token No | SM/22-23/12876 30/09/2023 | Serial | 011 |
| Patient Name | Miss PAPRI RAJHANSA | Contact No | 9123633195 |
| Address | 40 BHAGIRATHI LANE | Age | 7 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||