Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08740 | Date 17/02/2025 |
| Token No | SM/24-25/35729 17/02/2025 | Serial | 004 |
| Patient Name | Mr. SOVAN SETH | Contact No | |
| Address | KALNA BURDWAN | Age | 68 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||