Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08832 | Date 24/04/2023 |
| Token No | SM/22-23/9167 25/04/2023 | Serial | 040 |
| Patient Name | Mrs. CHAINA RAJBHATR | Contact No | 9163850826 |
| Address | 80/A DEY STREET | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||