Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09100 | Date 12/04/2025 |
| Token No | SM/25-26/642 12/04/2025 | Serial | 007 |
| Patient Name | Mr. GOPAL BISWAS | Contact No | 6295115630 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 30 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||