Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04448 | Date 06/07/2023 |
| Token No | SM/22-23/10242 06/07/2023 | Serial | 010 |
| Patient Name | Mr. CHANDU BAG | Contact No | 9679618132 |
| Address | HIJULI BAGANCHRA SANTIPUR NADIA | Age | 37 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||