Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10720 | Date 02/11/2023 |
| Token No | SM/22-23/13217 06/11/2023 | Serial | 040 |
| Patient Name | Mrs. KABITA SHRIMANI | Contact No | 9836663957 |
| Address | 6 BECHU DEY LANE | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||