Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03887 | Date 06/03/2023 |
| Token No | SM/22-23/7325 06/03/2023 | Serial | 025 |
| Patient Name | Mrs. HASIMA BIBI | Contact No | 9641225919 |
| Address | BHOLADANGA SANTIPUR NADIA | Age | 20Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||