Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 08541 | Date 14/03/2023 |
| Token No | SM/22-23/12757 27/09/2023 | Serial | 027 |
| Patient Name | Mrs. JINATUN BEGUM | Contact No | 8088890639 |
| Address | THAKURBATI STREET | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||