Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05202 | Date 21/09/2023 |
| Token No | SM/22-23/13371 21/09/2023 | Serial | 055 |
| Patient Name | Mr. AJIT MONDAL | Contact No | 8695277854 |
| Address | 122 HINDU SCHOOL PROVASNAGAR 712249 | Age | 34 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||