Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05730 | Date 25/11/2023 |
| Token No | SM/22-23/15812 25/11/2023 | Serial | 006 |
| Patient Name | Mrs. SABINA BIBI | Contact No | 9679114621 |
| Address | BHOLADANGA SANTIPUR NADIA | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||