Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09655 | Date 17/07/2023 |
| Token No | SM/22-23/10959 17/07/2023 | Serial | 042 |
| Patient Name | Miss PRITHA DALAL | Contact No | 8240631325 |
| Address | 82 CHATRA BARUI PARA | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||