Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03531 | Date 29/12/2022 |
| Token No | SM/22-23/5776 30/12/2022 | Serial | 008 |
| Patient Name | Mrs. MIRA DEBI | Contact No | 8442995225 |
| Address | 990/1 S K NAGAR RISHRA M 712249 | Age | 55 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||