Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07456 | Date 18/07/2024 |
| Token No | SM/24-25/25071 18/07/2024 | Serial | 025 |
| Patient Name | Mr. FAZAL KHAN | Contact No | |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 49 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||