Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07529 | Date 07/11/2022 |
| Token No | SM/25-26/1481 30/07/2025 | Serial | 021 |
| Patient Name | Mr. BIKASH DAS | Contact No | 8617799311 |
| Address | K M SHA STREET | Age | 34 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||