Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02402 | Date 06/08/2022 |
| Token No | SM/22-23/6576 06/02/2023 | Serial | 006 |
| Patient Name | Mr. KADAR ALI SEKH | Contact No | |
| Address | BHOLADANGA SANTIPUR 741404 | Age | 78 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||