Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13463 | Date 03/09/2025 |
| Token No | SM/25-26/2673 18/11/2025 | Serial | 012 |
| Patient Name | Mr. ARJUN DAS. | Contact No | 9830706830 |
| Address | 120 POTUA PARA LANE | Age | 47 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||