Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08228 | Date 02/02/2023 |
| Token No | SM/25-26/2449 30/10/2025 | Serial | 018 |
| Patient Name | Mr. SANTOSH GUPTA | Contact No | 8100352992 |
| Address | 14,D DEY STREET. | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||