Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07423 | Date 11/07/2024 |
| Token No | SM/24-25/24831 11/07/2024 | Serial | 012 |
| Patient Name | Mrs. HABIBA KHATUN | Contact No | 6297010797 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||