Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11943 | Date 12/08/2024 |
| Token No | SM/24-25/18191 14/08/2024 | Serial | 026 |
| Patient Name | Mrs. MAMATA PRADHAN(POLAY) | Contact No | 7980808711 |
| Address | 7/8 394 COCKRAIN ROAD | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||