Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10251 | Date 31/08/2023 |
| Token No | SM/22-23/12252 04/09/2023 | Serial | 036 |
| Patient Name | Mr. SUBRATA SARDAR | Contact No | 9051300314 |
| Address | 15 BOSEPARA | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||