Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13442 | Date 01/09/2025 |
| Token No | SM/25-26/1837 01/09/2025 | Serial | 037 |
| Patient Name | Mrs. ARTI DEBI | Contact No | 583960223 |
| Address | 24 BLC MILL ROAD | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||