Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06391 | Date 19/07/2022 |
| Token No | SM/22-23/4723 26/08/2022 | Serial | 006 |
| Patient Name | Mrs. MALA BHUIYA | Contact No | 8240342455 |
| Address | JUBILI BASTI | Age | 19 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||