Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04526 | Date 18/07/2023 |
| Token No | SM/24-25/33863 08/01/2025 | Serial | 014 |
| Patient Name | Mrs. SULEKHA KHATUN | Contact No | 9679618132 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA 741404 | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||