Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09314 | Date 19/05/2025 |
| Token No | SM/25-26/2215 19/05/2025 | Serial | 023 |
| Patient Name | Mrs. SABNUR KHATUN | Contact No | 8145340685 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA741404 | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||