Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06678 | Date 02/05/2024 |
| Token No | SM/24-25/21401 02/05/2024 | Serial | 003 |
| Patient Name | Mr. SAGAR ALI SARKAR | Contact No | 9062485357 |
| Address | KALINAGAR BURDWAN | Age | 31 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||