Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06646 | Date 05/08/2022 |
| Token No | SM/22-23/4459 10/08/2022 | Serial | 044 |
| Patient Name | Mrs. SUMANA DAS | Contact No | 9123910915 |
| Address | 73/A R B SARANI | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||