Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09000 | Date 01/04/2025 |
| Token No | SM/25-26/138 03/04/2025 | Serial | 020 |
| Patient Name | Mr. BILLA DAS | Contact No | 9734050271 |
| Address | NOAPARA BARDDHAMAN NOWAPARA 713515 | Age | 57 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||