Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08969 | Date 26/03/2025 |
| Token No | SM/24-25/37562 28/03/2025 | Serial | 008 |
| Patient Name | Mrs. JHILIK DAS | Contact No | 9830889835 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||