Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07677 | Date 15/11/2022 |
| Token No | SM/22-23/6412 16/11/2022 | Serial | 042 |
| Patient Name | Miss SHARMISTHA DAS | Contact No | 9051989611 |
| Address | 1 KDB LANE | Age | 15 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||