Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01828 | Date 04/06/2022 |
| Token No | SM/24-25/29304 08/10/2024 | Serial | 020 |
| Patient Name | Mrs. NUTU BIBI | Contact No | 9832005794 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||