Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11008 | Date 03/01/2024 |
| Token No | SM/22-23/14189 10/01/2024 | Serial | 004 |
| Patient Name | Mr. SHAKTI BAG | Contact No | 8420088360 |
| Address | BHAGIRATHI LANE | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||