Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05343 | Date 25/01/2022 |
| Token No | SM/22-23/4247 02/08/2022 | Serial | 006 |
| Patient Name | Mrs. MINATI PRADHAN | Contact No | 9163119124 |
| Address | 8/434 COCKRAIN ROAD | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||