Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08768 | Date 17/04/2023 |
| Token No | SM/22-23/8973 18/04/2023 | Serial | 034 |
| Patient Name | Mr. DILIP KUMAR LAHA | Contact No | 9830407630 |
| Address | 6 RAIGHAT | Age | 53 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||