Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08766 | Date 17/04/2023 |
| Token No | SM/22-23/10010 06/06/2023 | Serial | 004 |
| Patient Name | Mrs. RAJASHREE CHAKRABORTY | Contact No | 9748754439 |
| Address | 164/2 R K ROAD, CHATRA | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||