Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02731 | Date 20/09/2022 |
| Token No | SM/22-23/2861 20/09/2022 | Serial | 013 |
| Patient Name | Mr. JUJUR ALI SEKH | Contact No | 9832174112 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||