Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10346 | Date 08/09/2023 |
| Token No | SM/22-23/12382 10/09/2023 | Serial | 001 |
| Patient Name | Mr. MALAY DAS | Contact No | |
| Address | Age | 64 YRS Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||