Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12244 | Date 18/10/2024 |
| Token No | SM/24-25/19328 18/10/2024 | Serial | 006 |
| Patient Name | Mr. RAHUL KR SHAW | Contact No | 9875636927 |
| Address | 70/A/2/120 K. B. LANE | Age | 23 Y Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||