Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10449 | Date 21/09/2023 |
| Token No | SM/22-23/12631 22/09/2023 | Serial | 030 |
| Patient Name | Master AMARJEET CHOWDHURY | Contact No | 9007785686 |
| Address | RAY LAND ROAD, PACHU BAZAR | Age | 7 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||