Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10123 | Date 01/11/2025 |
| Token No | SM/25-26/9812 01/11/2025 | Serial | 037 |
| Patient Name | Mrs. ANUCHA BIBI | Contact No | 9641225918 |
| Address | BHOLADANGA GAYESHPUR SANTIPUR NADIA | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||