Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06914 | Date 05/09/2022 |
| Token No | SM/22-23/4940 06/09/2022 | Serial | 055 |
| Patient Name | Mr. SAYANDEEP DEY | Contact No | 9831595476 |
| Address | 595/A G T ROAD | Age | 18 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||