Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08173 | Date 18/01/2023 |
| Token No | SM/22-23/7525 18/01/2023 | Serial | 006 |
| Patient Name | Mr. SOURAV PARUI | Contact No | |
| Address | Age | 25 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||