Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09296 | Date 15/05/2025 |
| Token No | SM/25-26/2064 15/05/2025 | Serial | 027 |
| Patient Name | Mrs. SARIFA BIBI | Contact No | 7679014660 |
| Address | TENGRIDANGA SANTIPUR NADIA 741404 | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||