Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12317 | Date 11/11/2024 |
| Token No | SM/24-25/20253 18/12/2024 | Serial | 005 |
| Patient Name | Mr. SANTI RAM CHATTERJEE | Contact No | 8017289263 |
| Address | 10 AB GARDEN LANE | Age | 86YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||