Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08899 | Date 27/04/2023 |
| Token No | SM/22-23/10839 12/07/2023 | Serial | 045 |
| Patient Name | Mr. KRISHNA KANTA KARMAKAR | Contact No | 7685918571 |
| Address | 105 J.N. LAHIRI ROAD | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||