Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05738 | Date 21/04/2022 |
| Token No | SM/22-23/5074 12/09/2022 | Serial | 021 |
| Patient Name | Mr. SHIBAPRASAD DAS | Contact No | 9432161591 |
| Address | 73/33 J N LAHIRI ROAD | Age | 74 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||