Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03846 | Date 22/02/2020 |
| Token No | SM/22-23/7120 22/12/2022 | Serial | 014 |
| Patient Name | Mrs. BHARATI KUNDU | Contact No | 8009547841 |
| Address | CHATRA | Age | 76 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||