Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07681 | Date 15/11/2022 |
| Token No | SM/22-23/6419 16/11/2022 | Serial | 049 |
| Patient Name | Miss SNIGDHA DHIBAR | Contact No | 7439628343 |
| Address | 73 DEY STREET | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||