Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08483 | Date 01/03/2023 |
| Token No | SM/22-23/8162 02/03/2023 | Serial | 014 |
| Patient Name | Mrs. RUPA MANNA | Contact No | 9831831067 |
| Address | 29 CHOWDHURY PARA | Age | 62 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||