Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08080 | Date 22/10/2024 |
| Token No | SM/24-25/29961 23/10/2024 | Serial | 033 |
| Patient Name | Mrs. KRISHNA DUTTA | Contact No | 8017645935 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||