Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12985 | Date 14/05/2025 |
| Token No | SM/25-26/484 17/05/2025 | Serial | 003 |
| Patient Name | Mr. APURBA DAS | Contact No | 9836711783 |
| Address | 23 CHOWDHURY PARA | Age | 62 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||