Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07315 | Date 18/10/2022 |
| Token No | SM/22-23/5687 19/10/2022 | Serial | 024 |
| Patient Name | Master KRISHNA SHA | Contact No | 9330992039 |
| Address | 79B DEY STREET | Age | 5 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||