Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07593 | Date 10/11/2022 |
| Token No | SM/22-23/6191 10/11/2022 | Serial | 035 |
| Patient Name | Mrs. EKTA JHA | Contact No | 8100063071 |
| Address | 59 AKRABATI LANE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||