Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10280 | Date 04/09/2023 |
| Token No | SM/22-23/12297 05/09/2023 | Serial | 029 |
| Patient Name | Miss SUSHMA CHOWDHURY | Contact No | 6291165852 |
| Address | 62/A RAYLAND ROAD | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||