Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05432 | Date 16/10/2023 |
| Token No | SM/22-23/14400 16/10/2023 | Serial | 007 |
| Patient Name | Mrs. AYNA KHATUN | Contact No | 9907724625 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||