Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08095 | Date 24/10/2024 |
| Token No | SM/24-25/34438 21/01/2025 | Serial | 012 |
| Patient Name | Mr. ROKI MONDAL | Contact No | 9339093453 |
| Address | SIDHORI MURSHIDABAD 731222 | Age | 25 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||