Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12438 | Date 09/12/2024 |
| Token No | SM/24-25/20082 09/12/2024 | Serial | 001 |
| Patient Name | Mr. PRABIR KR SARKAR | Contact No | 9239815909 |
| Address | 30V/1 BOSE PARA LANE | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||