Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07429 | Date 28/10/2022 |
| Token No | SM/22-23/6036 04/11/2022 | Serial | 033 |
| Patient Name | Mr. PRATIK NANDY | Contact No | 7980914101 |
| Address | 20 DOSTI LANE | Age | 35 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||