Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07852 | Date 30/11/2022 |
| Token No | SM/22-23/6918 09/12/2022 | Serial | 021 |
| Patient Name | Mrs. NAMITA PAL | Contact No | 9121880335 |
| Address | INDIA JUTE MILL LINE | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||