Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10287 | Date 11/12/2025 |
| Token No | SM/25-26/11816 11/12/2025 | Serial | 043 |
| Patient Name | Mrs. DUDHI BIBI | Contact No | 8536042536 |
| Address | BHOLADANGA GAYESHPUR HAZRATALA SANTIPUR NADIA | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||