Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12205 | Date 07/10/2024 |
| Token No | SM/24-25/19216 07/10/2024 | Serial | 003 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 9804865172 |
| Address | 91/D KHATIR BAZAR LANE | Age | 30 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||