Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09656 | Date 17/07/2023 |
| Token No | SM/22-23/10960 17/07/2023 | Serial | 043 |
| Patient Name | Mrs. SHOVA LAHA | Contact No | 9432740522 |
| Address | 130E BARUI PARA LANE | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||