Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04616 | Date 26/07/2023 |
| Token No | SM/22-23/10976 26/07/2023 | Serial | 020 |
| Patient Name | Mrs. CHANDANA SENAPATI | Contact No | 9143553982 |
| Address | CHATRA MUKHERJEE PARA | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||