Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05252 | Date 07/01/2022 |
| Token No | SM/24-25/17036 20/06/2024 | Serial | 038 |
| Patient Name | Mrs. ANITA DEBI.. | Contact No | 9831432883 |
| Address | 6/A PANCHANAN TALA | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||