Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09542 | Date 07/07/2025 |
| Token No | SM/25-26/4415 07/07/2025 | Serial | 010 |
| Patient Name | Mr. JASIM SEKH | Contact No | 7029547893 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 28 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||