Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09824 | Date 02/08/2023 |
| Token No | SM/25-26/3014 17/12/2025 | Serial | 002 |
| Patient Name | Mrs. SARIDA BEGUM | Contact No | 8420498240 |
| Address | BORA | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||