Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03911 | Date 11/03/2023 |
| Token No | SM/22-23/7446 11/03/2023 | Serial | 008 |
| Patient Name | Mr. MD.AAMAN | Contact No | 6290638067 |
| Address | 89/C MALLIKPARA LANE SERAMPORE 712203 | Age | 07 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||