Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12565 | Date 22/01/2025 |
| Token No | SM/24-25/21028 20/02/2025 | Serial | 002 |
| Patient Name | Mr. UTTAM MANNA | Contact No | 6290531188 |
| Address | 32C CHOWDHURY PARA | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||