Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02177 | Date 07/07/2022 |
| Token No | SM/22-23/15406 10/11/2023 | Serial | 004 |
| Patient Name | Mrs. TELI BEWA | Contact No | 8609060214 |
| Address | BHOLADANGA,GAYESHPUR ,SANTIPUR ,NADIA | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||