Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04383 | Date 30/06/2023 |
| Token No | SM/22-23/9967 30/06/2023 | Serial | 007 |
| Patient Name | Mrs. RANI DAS | Contact No | 9804965522 |
| Address | T . P BHATTACHARYA STREET | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||