Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06613 | Date 04/08/2022 |
| Token No | SM/22-23/4460 10/08/2022 | Serial | 045 |
| Patient Name | Mrs. SMRITILEKHA ADHIKARI | Contact No | 9432427960 |
| Address | 3 LOLIT MOHAN BHATTACHARYA ST | Age | 64 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||