Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02300 | Date 25/07/2022 |
| Token No | SM/22-23/8631 06/05/2023 | Serial | 002 |
| Patient Name | Mrs. PAPIYA KHATUN | Contact No | 9382854256 |
| Address | KALINAGAR BURDWAN | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||