Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00828 | Date 28/01/2020 |
| Token No | SM/19-20/1886 28/01/2020 | Serial | 041 |
| Patient Name | Mr. SWADHIN KUNDU | Contact No | |
| Address | Age | 60 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||