Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04045 | Date 12/04/2023 |
| Token No | SM/22-23/8163 12/04/2023 | Serial | 001 |
| Patient Name | Mr. DEB KUMAR BANERJEE | Contact No | 9330808182 |
| Address | TRIBENI | Age | 40 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||