Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08572 | Date 17/03/2023 |
| Token No | SM/22-23/8471 22/03/2023 | Serial | 018 |
| Patient Name | Mrs. KRISHNA NANDI | Contact No | 9073157164 |
| Address | 21 CHANDRA MOHON ROY LANE | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||