Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10813 | Date 23/11/2023 |
| Token No | SM/22-23/13476 30/11/2023 | Serial | 032 |
| Patient Name | Mrs. PARUL DAS | Contact No | 8697166122 |
| Address | 32 DOSTI LANE | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||