Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08081 | Date 02/01/2023 |
| Token No | SM/22-23/13801 14/12/2023 | Serial | 032 |
| Patient Name | Mrs. LALPARI DEBI | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||