Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 12243 | Date 18/10/2024 |
| Token No | SM/24-25/19327 18/10/2024 | Serial | 005 |
| Patient Name | Mr. BAIDYANATH MAITY | Contact No | NOT GIVEN |
| Address | 11 BLC MILL ROAD | Age | 66YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||