Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11901 | Date 05/08/2024 |
| Token No | SM/24-25/18250 17/08/2024 | Serial | 010 |
| Patient Name | Mrs. PROVATI PATHAK | Contact No | 9163317381 |
| Address | NALIKUL | Age | 72 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||