Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07301 | Date 17/10/2022 |
| Token No | SM/22-23/5614 17/10/2022 | Serial | 068 |
| Patient Name | Mr. DHRUB DAS | Contact No | |
| Address | DEY STREET | Age | 20 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||