Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02307 | Date 26/07/2022 |
| Token No | SM/22-23/6295 28/01/2023 | Serial | 001 |
| Patient Name | Mrs. HASU BIBI | Contact No | 8609060048 |
| Address | BHOLANDANGA GAYESHPUR SANTIPUR | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||