Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13443 | Date 01/09/2025 |
| Token No | SM/25-26/1840 01/09/2025 | Serial | 040 |
| Patient Name | Mr. SHAYAN BANERJEE | Contact No | 6290304130 |
| Address | 81 N N COLONY | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||