Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04219 | Date 26/05/2023 |
| Token No | SM/22-23/12946 11/09/2023 | Serial | 026 |
| Patient Name | Mr. FAKIR SEKH | Contact No | 8145340685 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA 741404 | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||