Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02340 | Date 24/06/2019 |
| Token No | SM/18-19/4382 24/06/2019 | Serial | 012 |
| Patient Name | Mr. SANTOSH KUMAR DAS | Contact No | 9804671656 |
| Address | THAKUR BATI STREET | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||