Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 05493 | Date 21/10/2023 |
| Token No | SM/22-23/14684 21/10/2023 | Serial | 015 |
| Patient Name | Mr. RANJIT DAS | Contact No | 9874480277 |
| Address | 3/4/B/1 G.T ROAD NITTOGOPAL DAS LANE | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||