Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06758 | Date 17/08/2022 |
| Token No | SM/22-23/4576 17/08/2022 | Serial | 008 |
| Patient Name | Mr. SUMIT CHATTERJEE | Contact No | 9674895744 |
| Address | N N COLONY | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||