Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12753 | Date 10/03/2025 |
| Token No | SM/24-25/21274 10/03/2025 | Serial | 016 |
| Patient Name | Mr. AVIJIT DAS | Contact No | 9832123730 |
| Address | BHAGIRATHI LANE | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||