Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02147 | Date 05/07/2022 |
| Token No | SM/22-23/9648 16/06/2023 | Serial | 015 |
| Patient Name | Mr. AJABALI BISWAS | Contact No | |
| Address | BHOLADANGA SANTIPUR NADIA | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||