Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 00469 | Date 14/08/2018 |
| Token No | SM/22-23/8825 10/04/2023 | Serial | 049 |
| Patient Name | Mrs. SWAPNA DUTTA | Contact No | 8961367028 |
| Address | 7 PATUA PARA | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||