Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09133 | Date 22/05/2023 |
| Token No | SM/22-23/9785 23/05/2023 | Serial | 024 |
| Patient Name | Mrs. KRISHNA BRAMHA | Contact No | 6291312467 |
| Address | 26/6 DEY BAGAN LANE | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||