Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02494 | Date 20/08/2022 |
| Token No | SM/22-23/11925 17/08/2023 | Serial | 008 |
| Patient Name | Mrs. RAJIA BIBI | Contact No | 8348307027 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||