Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05220 | Date 22/09/2023 |
| Token No | SM/22-23/13425 22/09/2023 | Serial | 046 |
| Patient Name | Mr. ALAL BISWAS | Contact No | 9679114621 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 60 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||