Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06811 | Date 24/08/2022 |
| Token No | SM/22-23/15238 13/03/2024 | Serial | 021 |
| Patient Name | Mrs. SARAJINI PRADHAN | Contact No | 8981501507 |
| Address | 12 PITAMBAR DEY LANE | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||