Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09516 | Date 03/07/2023 |
| Token No | SM/22-23/10610 04/07/2023 | Serial | 032 |
| Patient Name | Mr. ASHOK DAS | Contact No | 9830470951 |
| Address | KHETRASWAR MELA BARI, K M SHA STREET | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||