Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08478 | Date 01/03/2023 |
| Token No | SM/25-26/1071 02/07/2025 | Serial | 024 |
| Patient Name | Mr. DEBAPRIYA BHAR | Contact No | 9830340377 |
| Address | 628/1 G T ROAD, KALITALA | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||