Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07229 | Date 13/10/2022 |
| Token No | SM/22-23/6239 12/11/2022 | Serial | 006 |
| Patient Name | Mrs. DEBIKA MAL DAS | Contact No | 9330527102 |
| Address | 82 NEHERU NAGAR COLONY | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||