Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10851 | Date 30/11/2023 |
| Token No | SM/24-25/15783 15/04/2024 | Serial | 064 |
| Patient Name | Mrs. PIYALI DAS | Contact No | |
| Address | Age | 23 YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||