Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10252 | Date 01/09/2023 |
| Token No | SM/22-23/12255 04/09/2023 | Serial | 039 |
| Patient Name | Mr. SUKHNANDAN ROY | Contact No | 9504278573 |
| Address | 11/327 india jute mill | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||