Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07181 | Date 10/10/2022 |
| Token No | SM/22-23/11697 17/08/2023 | Serial | 017 |
| Patient Name | Mr. JOY DAS | Contact No | 8017893255 |
| Address | 38 AKHRA BATI LANE | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||