Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11063 | Date 24/01/2024 |
| Token No | SM/22-23/14401 24/01/2024 | Serial | 021 |
| Patient Name | Mrs. DIPA PAL | Contact No | |
| Address | Age | 55 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||