Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05549 | Date 16/03/2022 |
| Token No | SM/25-26/471 15/05/2025 | Serial | 022 |
| Patient Name | Mrs. CHHAYA BAG | Contact No | 6291588329 |
| Address | A B GARDEN LANE | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||