Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08709 | Date 05/04/2023 |
| Token No | SM/22-23/8774 06/04/2023 | Serial | 027 |
| Patient Name | Mrs. MADHURI KUMARI | Contact No | 8651046011 |
| Address | 1 ANATH BANDHU MUKHERJEE LANE | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||