Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08642 | Date 24/03/2023 |
| Token No | SM/22-23/8561 27/03/2023 | Serial | 008 |
| Patient Name | Miss NANDINI SINGH | Contact No | 7980013630 |
| Address | DEY BARI DEY STREET | Age | 19 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||