Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11248 | Date 06/03/2024 |
| Token No | SM/22-23/15102 06/03/2024 | Serial | 044 |
| Patient Name | Mrs. RUKMANI SAHU | Contact No | 6290270230 |
| Address | 18/120 DR. N.L. BHATTACHARYA STREET | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||