Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03501 | Date 27/12/2022 |
| Token No | SM/24-25/24616 08/07/2024 | Serial | 010 |
| Patient Name | Mr. KALAM BISWAS | Contact No | 9641225918 |
| Address | BHOLADANGA GAYESHPUR SANTIPUIR NADIA 741404 | Age | 56 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||