Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08439 | Date 23/12/2024 |
| Token No | SM/24-25/33213 26/12/2024 | Serial | 007 |
| Patient Name | Mr. SUBHOJIT DAS | Contact No | 8016743992 |
| Address | HINDI SCHOOL PRAVASNAGR 712249 | Age | 13 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||