Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06694 | Date 10/08/2022 |
| Token No | SM/22-23/10988 18/07/2023 | Serial | 022 |
| Patient Name | Mr. BABLU MALIK | Contact No | 7319232053 |
| Address | TARAPUKUR QUARTER | Age | 51 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||