Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04776 | Date 10/08/2023 |
| Token No | SM/22-23/11628 10/08/2023 | Serial | 018 |
| Patient Name | Mrs. SHEPHALI DAS | Contact No | 7688016671 |
| Address | 171(73/E) TELI PARA BAGER BAGAN CHATRA | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||