Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06742 | Date 09/05/2024 |
| Token No | SM/24-25/21689 09/05/2024 | Serial | 013 |
| Patient Name | Mr. ASHABUL SEKH | Contact No | 6294631628 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA SANTIPUR NADIA 741404 | Age | 32 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||