Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07602 | Date 11/11/2022 |
| Token No | SM/22-23/6243 12/11/2022 | Serial | 010 |
| Patient Name | Mrs. KANIKA DEY | Contact No | 9088122700 |
| Address | 48/1 DEY BAGAN LANE | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||