Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03730 | Date 08/02/2023 |
| Token No | SM/22-23/6641 08/02/2023 | Serial | 008 |
| Patient Name | Mr. SUJAN SEKH | Contact No | 7872568921 |
| Address | BHOLADANGA SANTIPUR 741404 | Age | 18 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||