Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03732 | Date 09/02/2023 |
| Token No | SM/22-23/6670 09/02/2023 | Serial | 004 |
| Patient Name | Mr. MOHIR SEKH | Contact No | 9832174111 |
| Address | BHOLADANGA SANTIPUR NADIA741404 | Age | 17 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||