Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12781 | Date 13/03/2025 |
| Token No | SM/24-25/21409 19/03/2025 | Serial | 047 |
| Patient Name | Mrs. SUSHILA BISWAL | Contact No | 8017603991 |
| Address | DHARMATALA | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||