Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08149 | Date 10/01/2023 |
| Token No | SM/22-23/8291 14/03/2023 | Serial | 027 |
| Patient Name | Mrs. MIRA DEBI | Contact No | NOT GIVEN |
| Address | NEAR UNION SCHOOL | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||