Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08681 | Date 31/03/2023 |
| Token No | SM/22-23/10624 04/07/2023 | Serial | 046 |
| Patient Name | Mr. RAJIB CHOWDHURI | Contact No | 7980543850 |
| Address | 62/A RAILAND ROAD | Age | 16 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||