Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12520 | Date 11/01/2025 |
| Token No | SM/24-25/20463 13/01/2025 | Serial | 006 |
| Patient Name | Mr. SUBHASH CHANDRA DEY | Contact No | 7044664368 |
| Address | 5E DEY STREET | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||