Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07489 | Date 03/11/2022 |
| Token No | SM/22-23/9945 02/06/2023 | Serial | 026 |
| Patient Name | Mrs. BHARATI DAS. | Contact No | 7890242235 |
| Address | K M SHA STREET | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||