Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12151 | Date 27/09/2024 |
| Token No | SM/24-25/19042 27/09/2024 | Serial | 001 |
| Patient Name | Mr. PRAVAT DALAPATI | Contact No | 9748050809 |
| Address | 529/A G.T.ROAD SASHI BHUSAN GHOSH LANE | Age | 51YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||