Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07454 | Date 18/07/2024 |
| Token No | SM/24-25/25067 18/07/2024 | Serial | 021 |
| Patient Name | Mr. MIR HOSSAIN MOLLA | Contact No | 8609060214 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 27 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||