Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07607 | Date 11/11/2022 |
| Token No | SM/22-23/6244 12/11/2022 | Serial | 011 |
| Patient Name | Mr. BACHHU HALDER | Contact No | 8240701061 |
| Address | 9A RUDRA RAM PANDIT LANE | Age | 41 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||