Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08114 | Date 05/01/2023 |
| Token No | SM/24-25/20587 18/01/2025 | Serial | 009 |
| Patient Name | Miss PRIYANKA BISWAS | Contact No | 9643127350 |
| Address | 537/D G T ROAD | Age | 8 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||