Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10478 | Date 22/09/2023 |
| Token No | SM/22-23/13044 16/10/2023 | Serial | 011 |
| Patient Name | Mr. KASHINATH DAS | Contact No | 8697358514 |
| Address | 102 J.N.LAHIRI ROAD | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||