Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08373 | Date 17/02/2023 |
| Token No | SM/22-23/8028 22/02/2023 | Serial | 017 |
| Patient Name | Mr. RAMESH MAJHI | Contact No | NOT GIVEN |
| Address | 18 K M BHATTACHARJEE STREET | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||