Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10844 | Date 30/11/2023 |
| Token No | SM/24-25/16328 16/05/2024 | Serial | 047 |
| Patient Name | Mrs. SUMAN DAS | Contact No | 6290121527 |
| Address | BARAL BAGAN LANE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||