Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03083 | Date 09/11/2022 |
| Token No | SM/22-23/7351 09/03/2023 | Serial | 005 |
| Patient Name | Mr. SK GOLAM | Contact No | 8777473783 |
| Address | MIRPUR HOOGHLY 712250 | Age | 40 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||