Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08404 | Date 21/02/2023 |
| Token No | SM/22-23/8351 16/03/2023 | Serial | 023 |
| Patient Name | Mrs. LAXMI MAJUMDER | Contact No | 9674998293 |
| Address | 2 M G ROAD | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||