Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 12964 | Date 05/05/2025 |
| Token No | SM/25-26/375 05/05/2025 | Serial | 034 |
| Patient Name | Mr. RAJ SINGH | Contact No | 8240598652 |
| Address | 162/Y TARAPUKUR | Age | 27 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||