Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04649 | Date 28/07/2023 |
| Token No | SM/22-23/11092 28/07/2023 | Serial | 024 |
| Patient Name | Mrs. ARATI RAY | Contact No | 9051075728 |
| Address | 16 RAJAK KL GOSWAMI STREET | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||