Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11974 | Date 20/08/2024 |
| Token No | SM/24-25/18291 21/08/2024 | Serial | 005 |
| Patient Name | Mrs. TILOTTAMA PRADHAN | Contact No | 7059665858 |
| Address | 9 WILLAM CAREY ROAD | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||