Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04352 | Date 17/06/2023 |
| Token No | SM/22-23/9688 17/06/2023 | Serial | 017 |
| Patient Name | Mr. SARIOT BISWAS | Contact No | 8609060214 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 25 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||