Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03808 | Date 21/02/2023 |
| Token No | SM/22-23/6966 21/02/2023 | Serial | 003 |
| Patient Name | Mrs. JAHURA BIBI | Contact No | 6297071130 |
| Address | BHOLADANGA GAYESHPUR NADIA | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||