Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11486 | Date 06/05/2024 |
| Token No | SM/24-25/16585 30/05/2024 | Serial | 006 |
| Patient Name | Mrs. SARITA DEBI | Contact No | 8809884771 |
| Address | PANCHU BAZAR | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||