Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10860 | Date 04/12/2023 |
| Token No | SM/24-25/16162 09/05/2024 | Serial | 061 |
| Patient Name | Mr. ALOKE RANJAN DEY | Contact No | 9331619339 |
| Address | 86/1/B DEY STREET | Age | 77 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||