Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07534 | Date 07/11/2022 |
| Token No | SM/22-23/6247 12/11/2022 | Serial | 014 |
| Patient Name | Mrs. SABITA BARAT | Contact No | 8100402508 |
| Address | 12 PITAMBAR DEY LANE | Age | 32 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||