Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10279 | Date 04/09/2023 |
| Token No | SM/22-23/12300 05/09/2023 | Serial | 032 |
| Patient Name | Mr. SUDAMA BISWAL | Contact No | 7439863875 |
| Address | 7/282 COCKRAIN ROAD | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||