Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09753 | Date 13/08/2025 |
| Token No | SM/25-26/6340 13/08/2025 | Serial | 077 |
| Patient Name | Master ASLAM BISWAS | Contact No | |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 9 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||