Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11040 | Date 17/01/2024 |
| Token No | SM/22-23/14304 17/01/2024 | Serial | 024 |
| Patient Name | Mr. KOUSHIK MUKHERJEE | Contact No | |
| Address | Age | 46 YRS Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||