Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11611 | Date 05/06/2024 |
| Token No | SM/24-25/16737 06/06/2024 | Serial | 039 |
| Patient Name | Mrs. TAPASI DHARA | Contact No | 8442811059 |
| Address | 13 A B GARDEN LANE | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||