Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10945 | Date 13/12/2023 |
| Token No | SM/24-25/16167 09/05/2024 | Serial | 066 |
| Patient Name | Mrs. GITA DEBI RAJBHAR | Contact No | 7890279615 |
| Address | 28/C BAZAR BYE LANE | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||