Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07251 | Date 14/10/2022 |
| Token No | SM/22-23/5603 17/10/2022 | Serial | 057 |
| Patient Name | Mrs. ANJU SHAW | Contact No | 7044354241 |
| Address | 30B TIN BAZAR BYE LANE | Age | 37 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||