Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09700 | Date 20/07/2023 |
| Token No | SM/22-23/13212 06/11/2023 | Serial | 035 |
| Patient Name | Mr. RAMADHAR RAY | Contact No | NOT GIVEN |
| Address | 18 NO. LINE | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||