Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10609 | Date 30/09/2023 |
| Token No | SM/22-23/12873 30/09/2023 | Serial | 008 |
| Patient Name | Mr. BADAL DEBNATH | Contact No | 6291456987 |
| Address | 51NO GANGULY BAGAN | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||