Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05684 | Date 18/11/2023 |
| Token No | SM/22-23/15610 18/11/2023 | Serial | 002 |
| Patient Name | Mr. ANIRUDDHA MALAKAR | Contact No | 8981959576 |
| Address | BAGNAPARA KALNA BURDWAN 713405 | Age | 59 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||