Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11969 | Date 13/03/2023 |
| Token No | SM/22-23/20622 13/03/2023 | Serial | 039 Last Visit: 13/03/2023 |
| Patient Name | Mrs. REBA DUTTA | Contact No | |
| Address | CHATRA | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||