Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03344 | Date 08/12/2022 |
| Token No | SM/22-23/5080 08/12/2022 | Serial | 006 |
| Patient Name | Mr. DEBJIT MUKHERJEE | Contact No | |
| Address | CHATRA | Age | 15 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||