Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07530 | Date 07/11/2022 |
| Token No | SM/22-23/6290 14/11/2022 | Serial | 043 |
| Patient Name | Mrs. BEHULA KUMIR | Contact No | 6291592616 |
| Address | 40/A BHAGIRATHI LANE | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||