Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13280 | Date 23/07/2025 |
| Token No | SM/25-26/1368 24/07/2025 | Serial | 007 |
| Patient Name | Mr. BIMAL BHOWMIK | Contact No | 9830579477 |
| Address | JOLKOL WORKER | Age | 40 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||