Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10092 | Date 24/10/2025 |
| Token No | SM/25-26/9483 24/10/2025 | Serial | 009 |
| Patient Name | Mr. SAKIR UDDIN BISWAS | Contact No | 9907724625 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA SANTIPUR NADIA 741404 | Age | 24 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||