Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08589 | Date 20/03/2023 |
| Token No | SM/22-23/11480 08/08/2023 | Serial | 038 |
| Patient Name | Mrs. SUDIPA LAHIRI | Contact No | 8335032479 |
| Address | 7 M.C. LAHIRI STREET, CHATRA | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||