Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06686 | Date 10/08/2022 |
| Token No | SM/22-23/7601 31/01/2023 | Serial | 048 |
| Patient Name | Mrs. MINU SEN | Contact No | NOT GIVEN |
| Address | 10 RUDRARAM PANDIT LANE | Age | 48 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||