Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12082 | Date 09/09/2024 |
| Token No | SM/24-25/18819 18/09/2024 | Serial | 004 |
| Patient Name | Mr. HARA GHOSH | Contact No | 9883538343 |
| Address | 57A DHULIPARA LANE | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||