Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06220 | Date 09/02/2024 |
| Token No | SM/22-23/18380 09/02/2024 | Serial | 011 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 7980018596 |
| Address | 43 SIMLA SATGHARA ROAD RISHRA 712249 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||