Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04283 | Date 08/06/2023 |
| Token No | SM/22-23/9376 08/06/2023 | Serial | 017 |
| Patient Name | Mr. ABDUL JALIL MOLLA | Contact No | 7908664730 |
| Address | KALINAGAR NIBHUJIBAZAR BURDWAN 713434 | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||