Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10047 | Date 21/08/2023 |
| Token No | SM/22-23/11932 23/08/2023 | Serial | 054 |
| Patient Name | Mr. SURAJIT GHOSH | Contact No | 7003841054 |
| Address | 516 G T ROAD | Age | 40 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||