Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05757 | Date 25/04/2022 |
| Token No | SM/22-23/2837 26/04/2022 | Serial | 016 |
| Patient Name | Mrs. ANISHA MAHATO | Contact No | 6291035649 |
| Address | 23 BARAL BAGAN | Age | 32 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||