Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10964 | Date 18/12/2023 |
| Token No | SM/24-25/16848 12/06/2024 | Serial | 021 |
| Patient Name | Mrs. HULAS NAYEK | Contact No | 8910945691 |
| Address | J.N. LAHIRI ROAD | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||