Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03771 | Date 16/02/2023 |
| Token No | SM/22-23/6890 17/02/2023 | Serial | 002 |
| Patient Name | Mrs. NAYANMANI MAJHI | Contact No | 8927007540 |
| Address | 230/A RAJYADHARPUR SERAMPORE 712203 | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||