Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10338 | Date 08/09/2023 |
| Token No | SM/22-23/12380 09/09/2023 | Serial | 005 |
| Patient Name | Miss MANISHA CHOWDHURY | Contact No | 8478099345 |
| Address | 7 NO LINE INDIAN JUIT MEAL | Age | 12 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||