Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09281 | Date 14/05/2025 |
| Token No | SM/25-26/2016 14/05/2025 | Serial | 063 |
| Patient Name | Mrs. NAHID AKBAR | Contact No | 9883568725 |
| Address | H/G /8 SERAMPORE HOUSING RISHRA 712248 | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||