Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05211 | Date 22/09/2023 |
| Token No | SM/22-23/13400 22/09/2023 | Serial | 021 |
| Patient Name | Mr. SANDIP BHUIYA | Contact No | |
| Address | HARIJAN BASTI SERAMPORE 712249 | Age | 5 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||