Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10238 | Date 28/11/2025 |
| Token No | SM/25-26/11118 28/11/2025 | Serial | 007 |
| Patient Name | Mr. SUMAN SEKH | Contact No | 7797213241 |
| Address | UDAYGANG BURDWAN 713405 | Age | 21 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||