Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10255 | Date 01/12/2025 |
| Token No | SM/25-26/11308 01/12/2025 | Serial | 036 |
| Patient Name | Mr. UJJWAL MALO | Contact No | 6289342057 |
| Address | RAJA BAGANBAIDYABATI | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||