Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09223 | Date 02/06/2023 |
| Token No | SM/22-23/9999 05/06/2023 | Serial | 046 |
| Patient Name | Mrs. UMRAWATI DEBI | Contact No | NOT GIVEN |
| Address | 18 T P BHATTACHARJEE STREET | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||