Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03617 | Date 18/01/2023 |
| Token No | SM/22-23/6142 18/01/2023 | Serial | 001 |
| Patient Name | Mrs. MAMON MAJHI | Contact No | |
| Address | NETAJI MORE SERAMPORE 712203 | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||