Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08490 | Date 02/03/2023 |
| Token No | SM/22-23/8188 03/03/2023 | Serial | 021 |
| Patient Name | Mr. MILAN DAS | Contact No | 9007405404 |
| Address | K M SHA STREET | Age | 40 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||