Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04215 | Date 23/05/2023 |
| Token No | SM/25-26/12057 17/12/2025 | Serial | 004 |
| Patient Name | Mrs. SABIRA BEGUM | Contact No | 9836514855 |
| Address | BANKRA BANKRA HAORA 711403 | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||