Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07081 | Date 19/09/2022 |
| Token No | SM/22-23/5250 21/09/2022 | Serial | 022 |
| Patient Name | Mrs. MINATI BRAHMA | Contact No | 7980981877 |
| Address | 30/A RAJYADHARPUR | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||