Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 10698 | Date 31/10/2023 |
| Token No | SM/22-23/13107 31/10/2023 | Serial | 001 |
| Patient Name | Miss TANISHA RAJAK | Contact No | 9681202586 |
| Address | 6/C/10 RC ROAD | Age | 9 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||