Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06449 | Date 22/07/2022 |
| Token No | SM/22-23/4339 04/08/2022 | Serial | 053 |
| Patient Name | Mrs. NILAM RAJBHAR | Contact No | 8100690399 |
| Address | 27 BAZAR BYE LANE | Age | 29 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||