Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08278 | Date 07/02/2023 |
| Token No | SM/25-26/2720 24/11/2025 | Serial | 007 |
| Patient Name | Mr. R. P. TANTI | Contact No | 9463371703 |
| Address | CHOWDHURY PARA | Age | 69 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||