Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10608 | Date 30/09/2023 |
| Token No | SM/22-23/12872 30/09/2023 | Serial | 007 |
| Patient Name | Mrs. ZAHEDA KHATOON | Contact No | 8478842901 |
| Address | 26/C PK DAS LANE | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||