Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03720 | Date 06/02/2023 |
| Token No | SM/22-23/6575 06/02/2023 | Serial | 005 |
| Patient Name | Mrs. MAMTAJ BIBI | Contact No | 9564126415 |
| Address | BHOLADANGA SANTIPUR NADIA | Age | 62 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||