Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08207 | Date 31/01/2023 |
| Token No | SM/22-23/7594 31/01/2023 | Serial | 041 |
| Patient Name | Mr. TAPAN DUTTA | Contact No | |
| Address | Age | 53 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||