Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11811 | Date 27/12/2022 |
| Token No | SM/22-23/19275 27/12/2022 | Serial | 050 Last Visit: 27/12/2022 |
| Patient Name | Miss RACHANA MAJUMDER | Contact No | |
| Address | CHATRA | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||