Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 11822 | Date 20/07/2024 |
| Token No | SM/24-25/17717 24/07/2024 | Serial | 019 |
| Patient Name | Mr. SAMIR BAG | Contact No | 8777096046 |
| Address | 27/E JANNAGAR ROAD | Age | 42 yrs Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||