Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05243 | Date 26/09/2023 |
| Token No | SM/25-26/2111 16/05/2025 | Serial | 004 |
| Patient Name | Mrs. HAMELA BIBI | Contact No | 9679114621 |
| Address | BHOLADANGA GAYESHPUR HAJRATALA SANTIPUR 741404 | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||