Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09573 | Date 07/07/2023 |
| Token No | SM/24-25/17452 11/07/2024 | Serial | 003 |
| Patient Name | Mr. SANKAR KUMAR DUTTA | Contact No | 9874829146 |
| Address | 62C BHAGIRATHI LANE | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||