Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13446 | Date 01/09/2025 |
| Token No | SM/25-26/1844 01/09/2025 | Serial | 044 |
| Patient Name | Mrs. LAKSHMI NAYEK | Contact No | 9874018449 |
| Address | 85 JN LAHIRI ROAD | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||