Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07286 | Date 17/10/2022 |
| Token No | SM/22-23/8709 04/04/2023 | Serial | 020 |
| Patient Name | Mrs. KUSUM DEVI | Contact No | 6290849750 |
| Address | 5B DEY STREET, DEY BARI | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||