Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02661 | Date 09/09/2022 |
| Token No | SM/22-23/2596 09/09/2022 | Serial | 003 |
| Patient Name | Mr. HAPIJUL SEKH | Contact No | |
| Address | PROVASNAGAR SERAMPORE | Age | 29 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||