Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03253 | Date 25/11/2022 |
| Token No | SM/22-23/4731 25/11/2022 | Serial | 018 |
| Patient Name | Mrs. SARJINA BIBI | Contact No | 9733835207 |
| Address | BHOLADANGA GAYESHPUR NADIA 741404 | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||