Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09104 | Date 16/04/2025 |
| Token No | SM/25-26/2151 17/05/2025 | Serial | 001 |
| Patient Name | Mrs. SABITA BERA | Contact No | 8777514380 |
| Address | DAKSHIN PARA WARD 7 GOBRA CHANDITALA 712702 | Age | 72 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||