Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02403 | Date 02/07/2019 |
| Token No | SM/18-19/4629 05/07/2019 | Serial | 037 |
| Patient Name | Mr. RAJA CHOWDHURY | Contact No | 9432280733 |
| Address | 25/A NOTUN BAGAN | Age | 23 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||