Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06510 | Date 27/07/2022 |
| Token No | SM/22-23/4248 02/08/2022 | Serial | 007 |
| Patient Name | Mr. DILIP KUMAR PAL | Contact No | 8420020223 |
| Address | 69A J N LAHIRI ROAD | Age | 63 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||