Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06644 | Date 05/08/2022 |
| Token No | SM/25-26/6086 28/10/2026 | Serial | 006 |
| Patient Name | Mrs. SOMA ROY | Contact No | 7003875522 |
| Address | 134/3/A THAKUR BATI | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||