Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13071 | Date 04/06/2025 |
| Token No | SM/25-26/676 05/06/2025 | Serial | 016 |
| Patient Name | Mr. ATANU ROY | Contact No | 9875699744 |
| Address | 90 PATUA PARA LANE | Age | 41 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||