Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04133 | Date 01/03/2021 |
| Token No | SM/20-21/9116 01/03/2021 | Serial | 031 |
| Patient Name | Mrs. RAMA DEBI... | Contact No | 7003508954 |
| Address | TIN BAZAR | Age | 66 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||