Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08027 | Date 27/12/2022 |
| Token No | SM/22-23/13250 08/11/2023 | Serial | 028 |
| Patient Name | Mrs. NAMITA DAS | Contact No | NOT GIVEN |
| Address | K.M. SHA STREET | Age | 39 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||