Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09657 | Date 17/07/2023 |
| Token No | SM/22-23/10962 17/07/2023 | Serial | 045 |
| Patient Name | Mr. MUKTALAL KUNDU | Contact No | 8370985544 |
| Address | 4 CHOWDHURY PARA LANE | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||