Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05050 | Date 16/11/2021 |
| Token No | SM/22-23/11509 09/08/2023 | Serial | 027 |
| Patient Name | Mrs. HAMIDA BEGUM | Contact No | 9123956318 |
| Address | 10 GOPINATH SAHA STREET | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||