Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07467 | Date 01/11/2022 |
| Token No | SM/22-23/5966 02/11/2022 | Serial | 007 |
| Patient Name | Mr. DEB KUMAR DAS | Contact No | 9132717448 |
| Address | 80 DEY STREET | Age | 14 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||