Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10662 | Date 09/10/2023 |
| Token No | SM/22-23/13008 11/10/2023 | Serial | 006 |
| Patient Name | Mrs. MANOSHI DAS | Contact No | 8207000470 |
| Address | 60 DEY STREET | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||