Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03606 | Date 14/01/2023 |
| Token No | SM/22-23/6086 14/01/2023 | Serial | 003 |
| Patient Name | Mr. MD REFEUL MOLLA | Contact No | 9339465698 |
| Address | HABIBPUR RANAGHAT NADIA 741402 | Age | 29 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||