Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09507 | Date 30/06/2023 |
| Token No | SM/22-23/10789 10/07/2023 | Serial | 041 |
| Patient Name | Mr. BIREN PAL | Contact No | 7044314417 |
| Address | 34 J.N. LAHIRI ROAD | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||