Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10201 | Date 29/08/2023 |
| Token No | SM/22-23/15255 14/03/2024 | Serial | 005 |
| Patient Name | Mr. PINAKI AUDDY | Contact No | 9681012063 |
| Address | 3/A AUDDY LANE | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||