Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07511 | Date 24/07/2024 |
| Token No | SM/24-25/36605 08/03/2025 | Serial | 015 |
| Patient Name | Mrs. KAMALA BIBI | Contact No | 9733835207 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA 741404 | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||