Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11669 | Date 18/06/2024 |
| Token No | SM/24-25/16991 19/06/2024 | Serial | 045 |
| Patient Name | Mrs. SHYAMALI SARKHEL | Contact No | 7439163763 |
| Address | 114/B T B STREET | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||