Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08490 | Date 31/12/2024 |
| Token No | SM/24-25/33488 31/12/2024 | Serial | 003 |
| Patient Name | Miss RUMANA SULTANA | Contact No | 9932578013 |
| Address | NABDWIP NADIA | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||