Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08955 | Date 03/05/2023 |
| Token No | SM/22-23/12758 27/09/2023 | Serial | 028 |
| Patient Name | Mr. M ALI | Contact No | 9903348350 |
| Address | 15 K C BHATTACHARJEE STREET | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||