Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09872 | Date 04/08/2023 |
| Token No | SM/22-23/13272 09/11/2023 | Serial | 021 |
| Patient Name | Mr. RUDRANIL HATI | Contact No | 6295706767 |
| Address | JOLKOL WORKER | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||