Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12711 | Date 03/03/2025 |
| Token No | SM/24-25/21208 05/03/2025 | Serial | 026 |
| Patient Name | Mr. GOPAL MONDAL | Contact No | 9051677651 |
| Address | 2/N SASHIBHUSHAN GHOSH LANE | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||