Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04994 | Date 26/10/2021 |
| Token No | SM/22-23/7458 11/01/2023 | Serial | 006 |
| Patient Name | Mr. ASHOK PARUI | Contact No | |
| Address | Age | 66 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||