Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04122 | Date 02/05/2023 |
| Token No | SM/22-23/8519 02/05/2023 | Serial | 003 |
| Patient Name | Mr. AKBAR ALI BISWAS | Contact No | 8609060047 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR 741317 | Age | 74 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||