Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07938 | Date 23/09/2024 |
| Token No | SM/24-25/28651 24/09/2024 | Serial | 001 |
| Patient Name | Mr. BABUA SINGHA | Contact No | 8420311777 |
| Address | GHORAMARA MALLICKPARA 712203 | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||