Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03809 | Date 21/02/2023 |
| Token No | SM/22-23/6967 21/02/2023 | Serial | 004 |
| Patient Name | Mr. BABU BISWAS | Contact No | 9382751452 |
| Address | BHOLADANGA GAYESHPUR NADIA | Age | 54 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||