Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07695 | Date 16/11/2022 |
| Token No | SM/22-23/7070 20/12/2022 | Serial | 004 |
| Patient Name | Mr. ANANTA DEY | Contact No | 8820460080 |
| Address | 31 DOSTI LANE | Age | 82 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||