Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07515 | Date 04/11/2022 |
| Token No | SM/22-23/6043 05/11/2022 | Serial | 006 |
| Patient Name | Mrs. BOBITA DEBI | Contact No | 9088537206 |
| Address | 12 NO LINE COCKRAIN ROAD | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||