Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10963 | Date 18/12/2023 |
| Token No | SM/22-23/13927 20/12/2023 | Serial | 004 |
| Patient Name | Mrs. LAXMI SINGH | Contact No | 7595805938 |
| Address | 2/A KAILASH CHATTERJEE LANE | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||