Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07994 | Date 07/10/2024 |
| Token No | SM/24-25/29195 07/10/2024 | Serial | 007 |
| Patient Name | Mrs. SIKHA BIBI | Contact No | 8609060214 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||