Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10884 | Date 05/12/2023 |
| Token No | SM/22-23/13571 05/12/2023 | Serial | 015 |
| Patient Name | Mr. JAYANTA ADHIKARY | Contact No | 9137315456 |
| Address | ALCOVE MAHESH FARI | Age | 31 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||