Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05581 | Date 04/11/2023 |
| Token No | SM/22-23/15339 08/11/2023 | Serial | 052 |
| Patient Name | Miss SWARNALI JANA | Contact No | 7557871377 |
| Address | BHAHWANPUR GOPIMOHAN BARH 721601 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||