Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07800 | Date 24/11/2022 |
| Token No | SM/22-23/6624 25/11/2022 | Serial | 003 |
| Patient Name | Mr. AMAL KUMAR CHODHURY | Contact No | 9874580266 |
| Address | 7/A CHOWDHURY PARA LANE | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||