Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06990 | Date 08/09/2022 |
| Token No | SM/25-26/6085 28/10/2026 | Serial | 005 |
| Patient Name | Mr. SK SORABUDDIN | Contact No | 9883996756 |
| Address | 11 K C BHATTACHARJEE STREET | Age | 65 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||