Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02192 | Date 09/07/2022 |
| Token No | SM/22-23/1238 09/07/2022 | Serial | 012 |
| Patient Name | Mr. SIRAJUL MOLLA | Contact No | |
| Address | BHOLADANGA,SANTIPUR NADIA | Age | 61 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||