Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08344 | Date 16/02/2023 |
| Token No | SM/22-23/7941 17/02/2023 | Serial | 036 |
| Patient Name | Mrs. RANJU DEBI | Contact No | 7439235834 |
| Address | 12 R B SARANI | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||