Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06583 | Date 02/08/2022 |
| Token No | SM/22-23/5948 01/11/2022 | Serial | 040 |
| Patient Name | Mr. MANINDRANATH DAS | Contact No | NOT GIVEN |
| Address | NALIKUL | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||