Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11448 | Date 25/04/2024 |
| Token No | SM/24-25/15983 25/04/2024 | Serial | 021 |
| Patient Name | Mrs. PRABHATI PATHAK | Contact No | 9163121059 |
| Address | NALIKUL | Age | 70 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||