Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05435 | Date 16/02/2022 |
| Token No | SM/21-22/2312 03/03/2022 | Serial | 018 |
| Patient Name | Mr. PRABIR SAHA | Contact No | 7980382506 |
| Address | 68 K M SHA STREET | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||