Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11546 | Date 16/05/2024 |
| Token No | SM/24-25/16427 22/05/2024 | Serial | 039 |
| Patient Name | Mr. ADWAITA KONAR | Contact No | 9143471758 |
| Address | 12 WILLAM CAREY ROAD | Age | 52 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||