Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03077 | Date 07/11/2022 |
| Token No | SM/22-23/4151 07/11/2022 | Serial | 050 |
| Patient Name | Master ABUTALEB MOLLA... | Contact No | 7282910051 |
| Address | MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||