Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04985 | Date 28/08/2023 |
| Token No | SM/22-23/12485 29/08/2023 | Serial | 020 |
| Patient Name | Mr. RAHUL ALAM | Contact No | 7076852826 |
| Address | LOKRI GOLA GORAKHHA PARANPUR MALDA 732204 | Age | 17 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||