Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12591 | Date 30/01/2025 |
| Token No | SM/24-25/20780 30/01/2025 | Serial | 003 |
| Patient Name | Mr. SANJAY CH CHATTERJEE | Contact No | 9830740326 |
| Address | NALIKUL | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||