Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07341 | Date 19/10/2022 |
| Token No | SM/22-23/6144 09/11/2022 | Serial | 037 |
| Patient Name | Mr. TAPAS KUMAR BELEL | Contact No | 9674676972 |
| Address | KC MUKHERJEE ST | Age | 58 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||