Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06079 | Date 19/01/2024 |
| Token No | SM/22-23/17618 19/01/2024 | Serial | 006 |
| Patient Name | Mr. KALU BISWAS | Contact No | 9064500904 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA SANTIPUR NADIA 741404 | Age | 29 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||