Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07370 | Date 05/07/2024 |
| Token No | SM/24-25/35524 11/02/2025 | Serial | 003 |
| Patient Name | Mrs. AMIRAN BIBI | Contact No | 7872644782 |
| 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 | |||