Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05991 | Date 31/05/2022 |
| Token No | SM/22-23/3215 01/06/2022 | Serial | 009 |
| Patient Name | Mrs. MITHU SAHA | Contact No | 9163720771 |
| Address | 140B/1 THAKUR BATI STREET | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||