Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04745 | Date 08/08/2023 |
| Token No | SM/22-23/11700 11/08/2023 | Serial | 020 |
| Patient Name | Mr. MILAN DAS | Contact No | 9874979447 |
| Address | 36, BHADURI LANE, CHATRA | Age | 29 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||