Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05919 | Date 21/12/2023 |
| Token No | SM/22-23/16770 21/12/2023 | Serial | 023 |
| Patient Name | Mrs. HAWA BIBI | Contact No | 8509039478 |
| Address | HIJULI MUSLIMPARA SANTIPUR NADIA 741404 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||