Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11196 | Date 27/02/2024 |
| Token No | SM/22-23/14953 27/02/2024 | Serial | 005 |
| Patient Name | Mr. PRAVAT CHATTERJEE | Contact No | |
| Address | Age | 71 YRS Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||