Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08672 | Date 30/03/2023 |
| Token No | SM/24-25/19965 28/11/2024 | Serial | 016 |
| Patient Name | Mr. NIRMAL KUMAR PAL | Contact No | 9748595978 |
| Address | 13 DEY STREET | Age | 61 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||