Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 10942 | Date 12/12/2023 |
| Token No | SM/22-23/13721 12/12/2023 | Serial | 029 |
| Patient Name | Mrs. REKHA BANIK | Contact No | NOT GIVEN |
| Address | 266/A MAHESH COLONY | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||