Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03827 | Date 24/02/2023 |
| Token No | SM/22-23/7032 24/02/2023 | Serial | 002 |
| Patient Name | Mr. DELBAR BISWAS | Contact No | 8972392106 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA741404 | Age | 39 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||