Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10347 | Date 08/09/2023 |
| Token No | SM/22-23/12370 08/09/2023 | Serial | 037 |
| Patient Name | Mr. BISHAL KUMAR ROY | Contact No | 9874831275 |
| Address | 22 BOSEPARA LANE | Age | 23 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||