Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06044 | Date 10/01/2024 |
| Token No | SM/22-23/17361 10/01/2024 | Serial | 006 |
| Patient Name | Mrs. TANJIRA BIBI | Contact No | 8116880178 |
| Address | KANUPUR RAGHUNATH GANJ MURSHIDABAD | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||