Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05812 | Date 10/05/2022 |
| Token No | SM/22-23/7439 10/01/2023 | Serial | 017 |
| Patient Name | Mr. TAPOS GHOSH | Contact No | |
| Address | Age | 50 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||