Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10429 | Date 20/09/2023 |
| Token No | SM/22-23/12763 27/09/2023 | Serial | 033 |
| Patient Name | Mr. KAJAL MAJUMDER | Contact No | 7439084042 |
| Address | 55 RAYLAND ROAD | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||