Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10604 | Date 30/09/2023 |
| Token No | SM/22-23/12868 30/09/2023 | Serial | 003 |
| Patient Name | Mr. SUBHAJIT BOSE | Contact No | 9007510384 |
| Address | 7/C/1/1 RAILAND CIRCULAR ROAD | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||