Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07909 | Date 08/12/2022 |
| Token No | SM/22-23/13061 17/10/2023 | Serial | 006 |
| Patient Name | Mrs. MOUSUMI RAO | Contact No | 8478921416 |
| Address | 12 PITAMBAR DEY LANE | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||