Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08189 | Date 31/01/2023 |
| Token No | SM/22-23/7628 01/02/2023 | Serial | 023 |
| Patient Name | Mr. AMARENDRA SHAW | Contact No | 9748058553 |
| Address | 8 DEY STREET | Age | 70 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||