Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09824 | Date 28/08/2025 |
| Token No | SM/25-26/6999 28/08/2025 | Serial | 008 |
| Patient Name | Mr. TAJMUL MOLLA | Contact No | 9062485357 |
| Address | KALINAGAR NIBHUJIBAZAR BURDWAN 713434 | Age | 30 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||