Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07494 | Date 03/11/2022 |
| Token No | SM/22-23/6154 09/11/2022 | Serial | 047 |
| Patient Name | Miss MUNNA PURAKAIT | Contact No | 9831382469 |
| Address | 38 JANNAGAR ROAD | Age | 53 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||