Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05311 | Date 03/10/2023 |
| Token No | SM/22-23/13891 04/10/2023 | Serial | 008 |
| Patient Name | Mrs. RINKU DEVI | Contact No | 7303564483 |
| Address | 10/B HARIPARA LANE SERMPORE 712203 06 | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||