Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11917 | Date 07/08/2024 |
| Token No | SM/24-25/18009 07/08/2024 | Serial | 052 |
| Patient Name | Mrs. RANI DAS | Contact No | 9748685695 |
| Address | 55 ROY LAND ROAD | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||