Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10147 | Date 25/08/2023 |
| Token No | SM/22-23/11993 25/08/2023 | Serial | 035 |
| Patient Name | Mr. SANDIP PAL | Contact No | 6291418911 |
| Address | 33 KM BHATTACHARJEE ST | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||