Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08657 | Date 27/03/2023 |
| Token No | SM/22-23/8620 28/03/2023 | Serial | 027 |
| Patient Name | Mrs. BHANU SARKAR | Contact No | 8013394104 |
| Address | 173 N.N. COLONY | Age | 59 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||