Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02497 | Date 20/08/2022 |
| Token No | SM/22-23/2145 20/08/2022 | Serial | 016 |
| Patient Name | Mr. NAMDER BISWAS | Contact No | 8145340685 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 59 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||