Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05641 | Date 04/04/2022 |
| Token No | SM/22-23/13033 12/10/2023 | Serial | 011 |
| Patient Name | Mrs. CHANDRANI SADHUKHAN | Contact No | 7003804129 |
| Address | 117 R B SARANI | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||