Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11683 | Date 20/06/2024 |
| Token No | SM/24-25/17035 20/06/2024 | Serial | 037 |
| Patient Name | Mrs. GUDIYA DEBI | Contact No | 9903110719 |
| Address | DHARMATALA | Age | 20 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||