Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10762 | Date 08/11/2023 |
| Token No | SM/22-23/13251 08/11/2023 | Serial | 029 |
| Patient Name | Mr. MANOJ KUMAR CHOWDHURY | Contact No | 8100270148 |
| Address | 27 LALBAHADUR SASTRI LANE | Age | 43 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||