Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06454 | Date 23/07/2022 |
| Token No | SM/22-23/7457 11/01/2023 | Serial | 005 |
| Patient Name | Mr. SETU HALDER | Contact No | |
| Address | Age | 74 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||