Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08469 | Date 28/02/2023 |
| Token No | SM/24-25/17416 08/07/2024 | Serial | 025 |
| Patient Name | Mr. PRITI DAS... | Contact No | 6289606964 |
| Address | 106/A R.B. SARANI | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||