Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12020 | Date 29/08/2024 |
| Token No | SM/25-26/362 05/05/2025 | Serial | 021 |
| Patient Name | Mrs. JAY MANTI DEBI | Contact No | 7595858456 |
| Address | BHAGIRATHI LANE | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||