Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01932 | Date 16/06/2022 |
| Token No | SM/22-23/594 16/06/2022 | Serial | 008 |
| Patient Name | Mr. MD GAFFAR SK | Contact No | 9564116735 |
| Address | KUSUMGACHHI PASCHIM PARA MURSHIDABAD 731219 | Age | 37 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||