Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08519 | Date 13/03/2023 |
| Token No | SM/22-23/8287 14/03/2023 | Serial | 023 |
| Patient Name | Mrs. MAYA HAZRA | Contact No | 8620057283 |
| Address | 8 HARI PARA LANE | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||