Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10258 | Date 01/09/2023 |
| Token No | SM/22-23/12256 04/09/2023 | Serial | 040 |
| Patient Name | Mr. PARSURAM SHA | Contact No | 8481860610 |
| Address | 42 K.M. BHATTACHARYA STREET | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||