Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02245 | Date 16/07/2022 |
| Token No | SM/22-23/1377 16/07/2022 | Serial | 001 |
| Patient Name | Mrs. SAMIYA BIBI | Contact No | |
| Address | BHOLADANGA | Age | 20 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||