Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10703 | Date 31/10/2023 |
| Token No | SM/22-23/13112 31/10/2023 | Serial | 006 |
| Patient Name | Mr. SHUVAM PALIT | Contact No | 7691340678 |
| Address | 29 SADGOPE PARA | Age | 13 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||