Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04612 | Date 26/07/2023 |
| Token No | SM/22-23/10971 26/07/2023 | Serial | 015 |
| Patient Name | Mrs. KAJAL CHINYA | Contact No | 9674530065 |
| Address | 34 CHATRA BAZAR ROAD | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||