Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02985 | Date 25/10/2022 |
| Token No | SM/22-23/8875 16/05/2023 | Serial | 015 |
| Patient Name | Mrs. HAJIRA BEWA | Contact No | 8609060214 |
| Address | BHOLADANGA SHANTIPUR NADIA | Age | 72 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||