Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07587 | Date 10/11/2022 |
| Token No | SM/22-23/6229 11/11/2022 | Serial | 034 |
| Patient Name | Master KRISHNA DAS | Contact No | NOT GIVEN |
| Address | DOSTI LANE | Age | 21 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||