Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10870 | Date 02/04/2022 |
| Token No | SM/22-23/11308 02/04/2022 | Serial | 002 Last Visit: 02/04/2022 |
| Patient Name | Mrs. PRIYANKA MANNA | Contact No | |
| Address | Age | 33 Y Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||