Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12183 | Date 30/09/2024 |
| Token No | SM/24-25/19132 30/09/2024 | Serial | 056 |
| Patient Name | Mr. SATYAM SARDAR | Contact No | 9051300314 |
| Address | 165 G.T.ROAD MAHESH BOSE PARA | Age | 50 Y Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||