Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11017 | Date 03/01/2024 |
| Token No | SM/22-23/14096 03/01/2024 | Serial | 053 |
| Patient Name | Mr. NIMAI SAMANTA | Contact No | 9064036409 |
| Address | PANTHARI BALIPUR KHANAKUL | Age | 53 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||