Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16351 | Date 08/12/2025 |
| Token No | SM/25-26/8748 11/12/2025 | Serial | 012 Last Visit: 11/12/2025 |
| Patient Name | Mr. JYOTI SAHA | Contact No | 8961601311 |
| Address | KONNGAR | Age | 28 Years,8 Months,26 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||