Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07920 | Date 09/12/2022 |
| Token No | SM/22-23/6926 12/12/2022 | Serial | 001 |
| Patient Name | Mrs. RINKU DAS | Contact No | 8910608959 |
| Address | 18 K.M. SHA STREET | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||