Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08346 | Date 16/02/2023 |
| Token No | SM/22-23/10568 03/07/2023 | Serial | 038 |
| Patient Name | Mrs. MANISHA MAJHI(HAZRA) | Contact No | 7439153725 |
| Address | 37 BARAL BAGAN | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||