Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12353 | Date 18/11/2024 |
| Token No | SM/24-25/19761 18/11/2024 | Serial | 002 |
| Patient Name | Mrs. GUDIYA ROY | Contact No | 8240994314 |
| Address | 59 PATUAPARA LANE | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||