Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 09313 | Date 12/06/2023 |
| Token No | SM/24-25/17417 09/07/2024 | Serial | 001 |
| Patient Name | Mr. BADAL DEY | Contact No | 8794629018 |
| Address | 73 BP 2 ND LANE | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||