Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09912 | Date 09/08/2023 |
| Token No | SM/22-23/12715 26/09/2023 | Serial | 031 |
| Patient Name | Mrs. GITA DEBI | Contact No | 9874991712 |
| Address | 55 RAY LAND ROAD | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||