Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05791 | Date 04/12/2023 |
| Token No | SM/22-23/16149 04/12/2023 | Serial | 039 |
| Patient Name | Mr. SARIFUL MONDAL | Contact No | 7001786138 |
| Address | BHOLADANGA PURBA-PARA SANTIPUR NADIA 741404 | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||