Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09515 | Date 01/07/2023 |
| Token No | SM/22-23/14999 28/02/2024 | Serial | 037 |
| Patient Name | Mr. RABINDRA NATH KUNDU | Contact No | 7908469030 |
| Address | MANIKTALA | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||