Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03639 | Date 24/01/2023 |
| Token No | SM/22-23/6245 24/01/2023 | Serial | 014 |
| Patient Name | Mr. MANNAN BISWAS | Contact No | 8609060047 |
| Address | BHOLADANGA GAYESHPUR NADIA 741404 | Age | 64 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||