Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05491 | Date 21/10/2023 |
| Token No | SM/22-23/14682 21/10/2023 | Serial | 013 |
| Patient Name | Mr. ANUPAM PAL | Contact No | 9003857876 |
| Address | 3 NO RUPCHAND LANE | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||