Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10344 | Date 08/09/2023 |
| Token No | SM/22-23/12349 08/09/2023 | Serial | 016 |
| Patient Name | Mrs. SUTRISHNA MALICK,,. | Contact No | 9062869668 |
| Address | HARIPUR, DIARA | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||