Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00385 | Date 13/08/2018 |
| Token No | SM/22-23/3717 02/07/2022 | Serial | 001 |
| Patient Name | Mr. RANJIT SHAW | Contact No | |
| Address | Age | 41 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||