Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05731 | Date 25/11/2023 |
| Token No | SM/22-23/15813 25/11/2023 | Serial | 007 |
| Patient Name | Mr. AKHER KHAN | Contact No | 8918674978 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||