Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10501 | Date 25/09/2023 |
| Token No | SM/22-23/12861 29/09/2023 | Serial | 061 |
| Patient Name | Mr. SUBHAJIT SASMAL | Contact No | 9748057889 |
| Address | 41/A BHAGIRATHI LANE | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||