Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11723 | Date 01/07/2024 |
| Token No | SM/24-25/17296 03/07/2024 | Serial | 023 |
| Patient Name | Mr. SUKUMAR KUNDU | Contact No | 9831515039 |
| Address | 13 DEY STREEET | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||