Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06003 | Date 05/01/2024 |
| Token No | SM/22-23/17251 06/01/2024 | Serial | 002 |
| Patient Name | Mrs. ANISA KHATUN | Contact No | 7679014660 |
| Address | TENGRIDANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||