Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09832 | Date 02/08/2023 |
| Token No | SM/25-26/2676 19/11/2025 | Serial | 001 |
| Patient Name | Master RAJIB DAS | Contact No | 7044314635 |
| Address | 573 G.T. ROAD | Age | 7 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||