Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06037 | Date 08/06/2022 |
| Token No | SM/22-23/3319 09/06/2022 | Serial | 033 |
| Patient Name | Mrs. PRIYANKA SHAW | Contact No | 9748088353 |
| Address | 37/C B L C MILLS ROAD | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||