Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07863 | Date 01/12/2022 |
| Token No | SM/24-25/20774 29/01/2025 | Serial | 033 |
| Patient Name | Mr. AMARESH DAS | Contact No | 8820460080 |
| Address | 40 B DOSTI LANE | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||