Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08188 | Date 12/11/2024 |
| Token No | SM/24-25/30945 12/11/2024 | Serial | 017 |
| Patient Name | Mrs. MAMTAJ BIBI | Contact No | |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||