Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07726 | Date 18/11/2022 |
| Token No | SM/22-23/7131 22/12/2022 | Serial | 025 |
| Patient Name | Mrs. RUPA SARDAR | Contact No | 8981133872 |
| Address | 177 N.N. COLONY | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||