Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09316 | Date 12/06/2023 |
| Token No | SM/22-23/10137 12/06/2023 | Serial | 044 |
| Patient Name | Mr. SUMAN DAS | Contact No | 9836079361 |
| Address | Age | 17 YRS Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||