Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08311 | Date 09/02/2023 |
| Token No | SM/22-23/7902 16/02/2023 | Serial | 037 |
| Patient Name | Mrs. SMITIKA DEY. | Contact No | 8961009477 |
| Address | 40A MADAM BAGAN | Age | 15 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||