Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04841 | Date 17/08/2023 |
| Token No | SM/22-23/11927 17/08/2023 | Serial | 010 |
| Patient Name | Mr. SURAJ BISWAS | Contact No | 9730598192 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 28 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||