Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05242 | Date 26/09/2023 |
| Token No | SM/24-25/22675 03/06/2024 | Serial | 051 |
| Patient Name | Mr. BADAR MOLLA | Contact No | 8609060214 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA SANTIPUR | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||