Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11827 | Date 22/07/2024 |
| Token No | SM/24-25/17720 24/07/2024 | Serial | 022 |
| Patient Name | Mrs. DIPALI DAS | Contact No | 8334927324 |
| Address | POTUA PARA | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||