Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08860 | Date 10/03/2025 |
| Token No | SM/25-26/12009 16/12/2025 | Serial | 009 |
| Patient Name | Mrs. PRATIMA PATHAK | Contact No | 9088071918 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 74 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||