Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07752 | Date 21/11/2022 |
| Token No | SM/22-23/6682 28/11/2022 | Serial | 031 |
| Patient Name | Miss SULAGNA BARAL | Contact No | 9883670276 |
| Address | 24A PANCHANAN TALA LANE | Age | 16 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||