Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05759 | Date 30/11/2023 |
| Token No | SM/22-23/15958 30/11/2023 | Serial | 006 |
| Patient Name | Mr. ALAUDDIN SEKH | Contact No | 7074056536 |
| Address | HIJULI BAGANCHRA NADIA 741404 | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||