Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03451 | Date 20/12/2022 |
| Token No | SM/22-23/5456 20/12/2022 | Serial | 002 |
| Patient Name | Mr. ABDUL FARAJ BISWAS | Contact No | 8767527931 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 20 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||