Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08465 | Date 28/02/2023 |
| Token No | SM/22-23/14340 18/01/2024 | Serial | 012 |
| Patient Name | Mr. PRADIP ROY | Contact No | 9051117987 |
| Address | 5/C DR G C GOSWAMI STREET | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||