Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10182 | Date 28/08/2023 |
| Token No | SM/22-23/12056 28/08/2023 | Serial | 058 |
| Patient Name | Mr. BIRUP SAHA | Contact No | 8583026120 |
| Address | 49 DEY STREET | Age | 47 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||