Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09920 | Date 09/08/2023 |
| Token No | SM/22-23/11552 10/08/2023 | Serial | 033 |
| Patient Name | Mrs. PREETI CHOWDHURY | Contact No | 7439977009 |
| Address | 36 BARAL BAGAN | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||