Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09622 | Date 13/07/2023 |
| Token No | SM/24-25/16236 13/05/2024 | Serial | 042 |
| Patient Name | Mrs. TARA DEBI | Contact No | 9007782833 |
| Address | 39 L B S ROAD | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||