Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11364 | Date 03/04/2024 |
| Token No | SM/24-25/15673 08/04/2024 | Serial | 032 |
| Patient Name | Mr. BIJAY DUTTA | Contact No | 8902205543 |
| Address | 20 A.B. GARDEN LANE | Age | 81 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||