Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12564 | Date 22/01/2025 |
| Token No | SM/24-25/20736 27/01/2025 | Serial | 034 |
| Patient Name | Mr. SWAGATA KUNDU | Contact No | 8240187930 |
| Address | 584/A G T ROAD | Age | 21 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||