Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08367 | Date 07/12/2024 |
| Token No | SM/24-25/32446 07/12/2024 | Serial | 039 |
| Patient Name | Mrs. CHAMPA BIBI | Contact No | 9679618132 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||