Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06842 | Date 30/08/2022 |
| Token No | SM/22-23/6897 08/12/2022 | Serial | 026 |
| Patient Name | Mr. DIPAK KUMAR SEN | Contact No | 9836515595 |
| Address | 149 THAKUR BATI STREET | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||