Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09494 | Date 24/06/2025 |
| Token No | SM/25-26/3906 24/06/2025 | Serial | 014 |
| Patient Name | Baby ASIFA KHATUN | Contact No | 9734087541 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR 741404 | Age | 3 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||