Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10690 | Date 30/10/2023 |
| Token No | SM/22-23/13098 30/10/2023 | Serial | 014 |
| Patient Name | Mr. ABHIJIT BISWAS | Contact No | 6291054131 |
| Address | 6/26/E BP 1ST LANE | Age | 26 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||