Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03085 | Date 09/11/2022 |
| Token No | SM/22-23/4229 10/11/2022 | Serial | 002 |
| Patient Name | Mr. RAKESH BHANDARI | Contact No | 8961001941 |
| Address | BOSE PARA IT KHOLA KHARDAH 700117 | Age | 27 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||