Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12061 | Date 04/09/2024 |
| Token No | SM/24-25/18626 05/09/2024 | Serial | 018 |
| Patient Name | Mr. ASISH HALDER | Contact No | 9007095116 |
| Address | 53/7 J N L ROAD | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||