Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02200 | Date 13/07/2022 |
| Token No | SM/22-23/1259 13/07/2022 | Serial | 013 |
| Patient Name | Mr. CHITRALEKHA DEVI | Contact No | |
| Address | Age | 55 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||