Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04738 | Date 07/08/2023 |
| Token No | SM/22-23/11465 07/08/2023 | Serial | 033 |
| Patient Name | Mrs. SANDHYA PATRA | Contact No | 9903583737 |
| Address | 10/R G.T. ROAD,BAIDYABATI(M) | Age | 63 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||