Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02809 | Date 28/09/2022 |
| Token No | SM/22-23/4730 25/11/2022 | Serial | 017 |
| Patient Name | Mr. PRASANTA KUNDU | Contact No | 8617433677 |
| Address | NABDWIP NADIA | Age | 64 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||