Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06328 | Date 22/02/2024 |
| Token No | SM/22-23/18900 22/02/2024 | Serial | 002 |
| Patient Name | Mrs. LUTFA BIBI | Contact No | 6295115630 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA741404 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||