Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09659 | Date 17/07/2023 |
| Token No | SM/22-23/10964 17/07/2023 | Serial | 047 |
| Patient Name | Mr. BISWANATH DAS | Contact No | 9088877678 |
| Address | CHATRA DHARMOTALA LANE | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||