Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09017 | Date 11/05/2023 |
| Token No | SM/22-23/9510 11/05/2023 | Serial | 035 |
| Patient Name | Mr. DIPALI PASWAN | Contact No | NOT GIVEN |
| Address | 18K M BHATTACHARJEE STREET | Age | 19 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||