Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08403 | Date 21/02/2023 |
| Token No | SM/22-23/12390 11/09/2023 | Serial | 008 |
| Patient Name | Mr. ASIT MAJUMDER | Contact No | 9330539831 |
| Address | 2 M G ROAD | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||