Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05980 | Date 02/01/2024 |
| Token No | SM/22-23/17091 02/01/2024 | Serial | 002 |
| Patient Name | Mrs. JIBA KHATUN | Contact No | 7719282947 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||