Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04934 | Date 24/08/2023 |
| Token No | SM/22-23/12272 24/08/2023 | Serial | 027 |
| Patient Name | Mr. PACHKORI BISWAS | Contact No | 9038947672 |
| Address | CHATRA LANKAR BAGAN | Age | 71 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||