Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07407 | Date 26/10/2022 |
| Token No | SM/22-23/6361 15/11/2022 | Serial | 048 |
| Patient Name | Mr. LAXMINARAYAN DEY | Contact No | 9007961248 |
| Address | BORO BELU, DUTTA BAGAN | Age | 60 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||