Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11965 | Date 16/08/2024 |
| Token No | SM/24-25/18256 17/08/2024 | Serial | 016 |
| Patient Name | Mrs. TAPASI PATRA | Contact No | 7047603083 |
| Address | TELEPHONE EXCHANGE | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||