Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04839 | Date 17/08/2023 |
| Token No | SM/22-23/11924 17/08/2023 | Serial | 007 |
| Patient Name | Mrs. MARIOM KHATUN | Contact No | 9370220765 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||