Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00577 | Date 16/08/2018 |
| Token No | SM/24-25/17496 11/07/2024 | Serial | 047 |
| Patient Name | Mrs. TAPATI DEY | Contact No | |
| Address | Age | 60 Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||