Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05067 | Date 05/09/2023 |
| Token No | SM/22-23/12750 05/09/2023 | Serial | 023 |
| Patient Name | Mr. SASANKA ROY | Contact No | 9830795297 |
| Address | Age | 49 YRS Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||