Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07718 | Date 21/08/2024 |
| Token No | SM/24-25/26997 22/08/2024 | Serial | 001 |
| Patient Name | Mr. BHOLA MOLLA | Contact No | 8145340685 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 38 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||