Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05994 | Date 02/06/2022 |
| Token No | SM/24-25/21472 27/03/2025 | Serial | 003 |
| Patient Name | Mr. TAPAN SINGHA | Contact No | 9874648833 |
| Address | 51 DHULIPARA | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||