Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08218 | Date 01/02/2023 |
| Token No | SM/22-23/7939 17/02/2023 | Serial | 034 |
| Patient Name | Miss SANCHITA KAR | Contact No | 8240272090 |
| Address | 540 G.T. ROAD, MANIKTALA | Age | 16 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||