Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03969 | Date 21/03/2023 |
| Token No | SM/22-23/7701 21/03/2023 | Serial | 007 |
| Patient Name | Mr. MOSLEM BISWAS | Contact No | 7620339860 |
| Address | BHOLADANGA GAYEHPUR SANTIPUT NADIA | Age | 48 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||