Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10675 | Date 16/10/2023 |
| Token No | SM/22-23/13042 16/10/2023 | Serial | 009 |
| Patient Name | Mr. INDRAJIT SHA | Contact No | 9330446312 |
| Address | 18 NO DHARMTALA LANE | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||