Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10129 | Date 25/08/2023 |
| Token No | SM/22-23/12048 28/08/2023 | Serial | 050 |
| Patient Name | Mr. ASHOK BRAHMA | Contact No | 9836848592 |
| Address | 24/1 DEY BAGAN LANE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||