Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11398 | Date 12/04/2024 |
| Token No | SM/24-25/18869 19/09/2024 | Serial | 016 |
| Patient Name | Mr. MAHESH THAKUR | Contact No | NOT GIVEN |
| Address | 25 K C BHATTACHARJEE ROAD | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||