Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08673 | Date 30/03/2023 |
| Token No | SM/22-23/8776 06/04/2023 | Serial | 029 |
| Patient Name | Mrs. ANJALI DEBI | Contact No | 8797049617 |
| Address | 9 INDIA JUTE MILL | Age | 19 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||