Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09876 | Date 04/08/2023 |
| Token No | SM/22-23/14337 18/01/2024 | Serial | 009 |
| Patient Name | Mr. BABLA MAITY | Contact No | NOT GIVEN |
| Address | 36 NEHERU NAGAR COLONY | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||