Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 05989 | Date 31/05/2022 |
| Token No | SM/25-26/1002 26/06/2025 | Serial | 022 |
| Patient Name | Mr. NIRANJAN DAS | Contact No | 9239041206 |
| Address | 14 NEHERU NAGAR COLONY | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||