Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11560 | Date 23/05/2024 |
| Token No | SM/24-25/16445 23/05/2024 | Serial | 015 |
| Patient Name | Mr. SURAJIT CHATTERJEE | Contact No | NOT GIVEN |
| Address | NALIKUL | Age | 47 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||