Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12804 | Date 19/03/2025 |
| Token No | SM/24-25/21427 20/03/2025 | Serial | 018 |
| Patient Name | Mr. RAJAT BHARATI | Contact No | 8101954650 |
| Address | banerjee para | Age | 28 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||