Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09724 | Date 09/08/2025 |
| Token No | SM/25-26/6135 09/08/2025 | Serial | 035 |
| Patient Name | Mrs. SABIUN KHATUN | Contact No | 8636059842 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||