Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04155 | Date 10/05/2023 |
| Token No | SM/22-23/8686 10/05/2023 | Serial | 014 |
| Patient Name | Mrs. HASENBANU BIBI | Contact No | 6297110714 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA 741404 | Age | 31 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||