Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08466 | Date 28/02/2023 |
| Token No | SM/22-23/11482 08/08/2023 | Serial | 040 |
| Patient Name | Mr. SUBHANKAR PARUI | Contact No | 9051625131 |
| Address | 2 SURIT CHANDNDRA ROY LANE | Age | 27 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||